Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 010894 | OH |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | OS017046 | PA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 14116 | FL |
NPI | 1043506900 |
---|---|
Provider Name | Dr. Maria Grace Compton |
First Address | Port Charlotte, FL 33952-8157 |
Second Address | Port Charlotte, FL 33952-8162 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2011 |
Last Update Date | 02/06/2020 |