Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | ME 101972 | FL |
NPI | 1043460231 |
---|---|
Provider Name | Dr. Shivani Verma |
First Address | Winter Park, FL 32789-3385 |
Second Address | Winter Park, FL 32789-3385 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2008 |
Last Update Date | 12/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001067000 | (05) | FL |