Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | ME 116069 | FL |
NPI | 1184687162 |
---|---|
Provider Name | Jeffrey W Skimming |
First Address | Sunrise, FL 33323-2815 |
Second Address | Weston, FL 33326-3250 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 08/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
271554600 | (05) | FL |