Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME 90470 | FL |
N | 111NI0900X | Internist | ME 90470 | FL |
N | 207RH0000X | Hematologist | ME 90470 | FL |
N | 207RH0003X | Hematology & Oncology | ME 90470 | FL |
N | 207RX0202X | Medical Oncology | ME 90470 | FL |
N | 208D00000X | General Practice Physician | ME 90470 | FL |
NPI | 1417911371 |
---|---|
Provider Name | Eduardo Pedro Delaflor-Weiss |
First Address | Wellington, FL 33414-8922 |
Second Address | Wellington, FL 33414-8922 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 28/03/2008 |