Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 38661 | IA |
Y | 207SG0201X | Clinical Genetics (M.D.) | ME135323 | FL |
N | 208000000X | Pediatrician | 38661 | IA |
N | 208000000X | Pediatrician | 48396 | WI |
N | 208000000X | Pediatrician | ME135323 | FL |
NPI | 1215988977 |
---|---|
Provider Name | Dr. Pamela L Trapane |
First Address | Jacksonville, FL 32231-4008 |
Second Address | Jacksonville, FL 32207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 24/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
34681600 | (05) | WI |
I42125 | (02) |