Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | DN 14040 | FL |
NPI | 1013077916 |
---|---|
Provider Name | Dr. Nilda M. Arceo |
First Address | North Miami Beach, FL 33162-4521 |
Second Address | North Miami Beach, FL 33162-4521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 08/07/2007 |