Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | ME49068 | FL |
NPI | 1467509505 |
---|---|
Provider Name | James Peter Lapolla |
First Address | St Petersburg, FL 33701 |
Second Address | St Petersburg, FL 33701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 21/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02630 | BCBS (01) | FL |
046823100 | (05) | FL |
1275796609 | GROUP NPI (01) | FL |
980000160 | RRW MCR (01) | |
D50588 | (02) | |
D50588 | (02) | FL |