Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD043137 | DC |
N | 208000000X | Pediatrician | ME129035 | FL |
Y | 2080P0201X | Pediatric Allergist | ME129035 | FL |
NPI | 1063770865 |
---|---|
Provider Name | Dr. Nicole Christine Akar-Ghibril |
First Address | Miramar, FL 33025-3925 |
Second Address | Hollywood, FL 33021-5403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2012 |
Last Update Date | 23/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
019204600 | (05) | FL |