Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CH0007468 | FL |
NPI | 1144226663 |
---|---|
Provider Name | Dr. Steven A Noseworthy |
First Address | Tampa, FL 33618-1400 |
Second Address | Tampa, FL 33618-1400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2005 |
Last Update Date | 08/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U61334 | (02) | FL |