Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | TRN10015 | FL |
N | 111NI0900X | Internist | TRN10015 | FL |
Y | 2084N0400X | Neurologist | ME110208 | FL |
NPI | 1003903949 |
---|---|
Provider Name | Dr. Maria Iren Hella |
First Address | Jacksonville, FL 32203-1113 |
Second Address | Jacksonville Beach, FL 32250-3206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 08/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
RES000 | (02) | FL |