Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | PO 2963 | FL |
N | 222Z00000X | Podiatrist | PO 2963 | FL |
N | 2081S0010X | Sports Medicine | PO 2963 | FL |
N | 213ES0000X | Sports Medicine | PO 2963 | FL |
Y | 213ES0103X | Foot & Ankle Surgery | PO 2963 | FL |
NPI | 1134160567 |
---|---|
Provider Name | Dr. Marla Lavoice |
First Address | Coral Gables, FL 33114-0819 |
Second Address | North Miami Beach, FL 33162-4502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 28/03/2011 |