Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DN19480 | FL |
Y | 213EG0000X | General Practice | DN19480 | FL |
NPI | 1003195694 |
---|---|
Provider Name | Dr. Monica Adriana Dulcey |
First Address | Tamarac, FL 33321 |
Second Address | Tamarac, FL 33321-3321 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2011 |
Last Update Date | 12/08/2011 |