Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | ME135431 | FL |
NPI | 1104168871 |
---|---|
Provider Name | Erin Kelly Green Baldwin |
First Address | Tampa, FL 33606-3800 |
Second Address | Tampa, FL 33612-4745 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2013 |
Last Update Date | 29/11/2018 |