Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | ME0060018 | FL |
NPI | 1184718082 |
---|---|
Provider Name | Hamid Latif |
First Address | Gainesville, FL 32607-1122 |
Second Address | Brandon, FL 33511-5779 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 15/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
23983 | BCBS (01) | FL |
374719100 | (05) | FL |
E62810 | (02) | FL |