Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | ME88896 | FL |
NPI | 1003922824 |
---|---|
Provider Name | Frederick A Dalgleish |
First Address | Ft Lauderdale, FL 33308-1556 |
Second Address | Hollywood, FL 33021-6809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 01/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A11905 | (02) | FL |