Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME0057024 | FL |
N | 111NI0900X | Internist | ME0057024 | FL |
Y | 207RP1001X | Pulmonary Disease | ME57024 | FL |
NPI | 1053386748 |
---|---|
Provider Name | Ernest Inacay |
First Address | Tampa, FL 33603-3100 |
Second Address | Tampa, FL 33603-3100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 17/12/2007 |