Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | ME92796 | FL |
NPI | 1558315093 |
---|---|
Provider Name | Dr. Margarida Maria Soares Lance |
First Address | Sarasota, FL 34236-8446 |
Second Address | Bradenton, FL 34208-7753 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 07/12/2016 |