Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | ARNP9182274 | FL |
NPI | 1295265312 |
---|---|
Provider Name | Heather Doerr |
First Address | Titusville, FL 32796-3181 |
Second Address | Orlando, FL 32804-4049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2017 |
Last Update Date | 13/06/2017 |