Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | ME104462 | FL |
NPI | 1003017112 |
---|---|
Provider Name | Dr. Rhea Bettina Sancassani |
First Address | Miami, FL 33136-1101 |
Second Address | Miami, FL 33136-1101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 07/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001279800 | (05) | FL |
CF534Y | (02) | FL |