Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | DN25380 | FL |
NPI | 1083141469 |
---|---|
Provider Name | Dr. Ryan Germann |
First Address | Plantation, FL 33322-7822 |
Second Address | North Miami Beach, FL 33179-2412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2017 |
Last Update Date | 03/09/2020 |