Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | ME102360 | FL |
NPI | 1407022338 |
---|---|
Provider Name | Dr. Shirley Jankelevich |
First Address | St Petersburg, FL 33701 |
Second Address | St Petersburg, FL 33701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2008 |
Last Update Date | 26/02/2010 |