Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | ME0044945 | FL |
NPI | 1265704514 |
---|---|
Provider Name | Dr. Marta Ariel Pfaffenberger |
First Address | Miami, FL 33137-4027 |
Second Address | Miami, FL 33137-4027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2012 |
Last Update Date | 02/02/2012 |