Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 10238 | ND |
Y | 207RH0003X | Hematology & Oncology | ME129420 | FL |
NPI | 1073544532 |
---|---|
Provider Name | Dr. Stephen N Makoni |
First Address | Lake Worth, FL 33462-1304 |
Second Address | Lake Worth, FL 33462 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 23/07/2018 |