Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | ME 38022 | FL |
NPI | 1083640510 |
---|---|
Provider Name | George A Carden |
First Address | West Palm Beach, FL 33401-3404 |
Second Address | West Palm Beach, FL 33401-3404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D67320 | (02) | FL |