Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | ME113581 | FL |
NPI | 1144599374 |
---|---|
Provider Name | Dr. Rosa B Ribon |
First Address | Boca Raton, FL 33431-6437 |
Second Address | Boca Raton, FL 33431-6437 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2011 |
Last Update Date | 06/08/2013 |