Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 9999991 | FL |
N | 207QA0505X | Family Doctor - Adult Medicine | 9999999 | FL |
N | 363LP2300X | Nurse Practitioner - Primary Care | 363LP2300X | FL |
NPI | 1013530195 |
---|---|
Provider Name | Dr. Salma Gozusulu |
First Address | Palm Beach, FL 33480-0332 |
Second Address | Palm Beach, FL 33480-4621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2020 |
Last Update Date | 22/05/2020 |