Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME96892 | FL |
N | 111NI0900X | Internist | ME96892 | FL |
Y | 207RA0201X | Internist - Allergy & Immunology | ME96892 | FL |
NPI | 1437358801 |
---|---|
Provider Name | Dr. Ronald Purcell |
First Address | Willoughby Hills, OH 44094-9655 |
Second Address | Willoughby Hills, OH 44094-9655 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2007 |
Last Update Date | 13/02/2018 |