Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME129317 | FL |
N | 2080P0202X | Pediatric Cardiologist | 2009020439 | MO |
N | 2080P0202X | Pediatric Cardiologist | MD425871 | PA |
Y | 2080P0202X | Pediatric Cardiologist | ME129317 | FL |
NPI | 1215102173 |
---|---|
Provider Name | Dr. Michael Abraham Bingler |
First Address | Jacksonville, FL 32256-0532 |
Second Address | Orlando, FL 32827-7402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2008 |
Last Update Date | 10/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
'018839500 | (05) | FL |