Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | P00001617 | FL |
N | 213ES0103X | Foot & Ankle Surgery | P00001617 | FL |
NPI | 1063458404 |
---|---|
Provider Name | Dr. Michael Newton Price |
First Address | Cape Coral, FL 33904-8549 |
Second Address | Cape Coral, FL 33904-8549 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 21/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
029665100 | (05) | FL |