Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | ME40626 | FL |
NPI | 1508812983 |
---|---|
Provider Name | Dr. Steven Al Proper |
First Address | Tampa, FL 33613-5424 |
Second Address | Tampa, FL 33613-5424 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 01/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00169 | UNIVERSAL (01) | FL |
205596 | AVMED (01) | FL |
30511 | BCBS (01) | FL |
D54023 | (02) | FL |