Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | ME124128 | FL |
NPI | 1730496076 |
---|---|
Provider Name | Dr. Vanessa Yohana Cavero Chavez |
First Address | Gainesville, FL 32608-4997 |
Second Address | Gainesville, FL 32610-2006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2010 |
Last Update Date | 20/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
015136000 | (05) | FL |