Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 056530 | GA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 19864 | AL |
NPI | 1376699561 |
---|---|
Provider Name | Francisco Jose Caycedo |
First Address | Birmingham, AL 35235-3400 |
Second Address | Birmingham, AL 35205-1606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2007 |
Last Update Date | 31/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F73725 | (02) | GA |