Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | ME152428 | FL |
NPI | 1134548381 |
---|---|
Provider Name | Dr. Veronica Demtchouk |
First Address | Gainesville, FL 32610-3001 |
Second Address | Boston, MA 02111-1552 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 27/08/2021 |