Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 4301046870 | MI |
NPI | 1083727390 |
---|---|
Provider Name | Dr. Vicente C Taasan |
First Address | Gainesville, FL 32608 |
Second Address | Gainesville, FL 32608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 23/05/2008 |