Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME128195 | FL |
Y | 2080P0201X | Pediatric Allergist | ME128195 | FL |
NPI | 1215279427 |
---|---|
Provider Name | Hanadys Ale |
First Address | Miramar, FL 33025-3925 |
Second Address | Hollywood, FL 33021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2013 |
Last Update Date | 17/03/2021 |