Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | ME118849 | FL |
N | 2080P0204X | Pediatric Emergency Doctor | OH35.088360 | OH |
NPI | 1316952047 |
---|---|
Provider Name | Jennifer Setlik |
First Address | Rockland, DE 19732-0191 |
Second Address | Orlando, FL 32827-7402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2006 |
Last Update Date | 02/05/2014 |