Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | PO2912 | FL |
NPI | 1457309502 |
---|---|
Provider Name | Dr. Monica Risicato Alexis-Califano |
First Address | Miramar, FL 33027-5234 |
Second Address | Miami, FL 33135-3319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U84710 | (02) | FL |