Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | ME0033843 | FL |
NPI | 1013918614 |
---|---|
Provider Name | John L Isler |
First Address | Altamonte Springs, FL 32701-4798 |
Second Address | Atlanta Springs, FL 32701-4798 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 20/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
037931000 | (05) | FL |
AI8575601 | DEA (01) | FL |
D57048 | (02) | FL |