Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | PO2187 | FL |
N | 213ES0103X | Foot & Ankle Surgery | PO 0002187 | FL |
NPI | 1184625592 |
---|---|
Provider Name | Jacqueline S Buchman |
First Address | Miami, FL 33150-2063 |
Second Address | Miami, FL 33150-2063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 09/07/2007 |