Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | ME106706 | FL |
NPI | 1003074436 |
---|---|
Provider Name | Gabriela Ferder |
First Address | Plantation, FL 33324-3920 |
Second Address | Boca Raton, FL 33498-4700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2008 |
Last Update Date | 21/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002310900 | (05) | FL |