Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | ME127712 | FL |
NPI | 1245556869 |
---|---|
Provider Name | Eileen Marie Bernal |
First Address | Miami, FL 33175-3582 |
Second Address | Miami, FL 33175-3582 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2010 |
Last Update Date | 05/08/2016 |