Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 31448 | IA |
N | 208600000X | Surgeon | 31448 | IA |
Y | 208200000X | Surgeon | ME82789 | FL |
Y | 208600000X | Surgeon | ME82789 | FL |
N | 2082S0105X | Plastic Hand Surgeon | ME82789 | FL |
NPI | 1902884299 |
---|---|
Provider Name | Joseph Wells Aguiar |
First Address | Tampa, FL 33626-1737 |
Second Address | Tampa, FL 33626-1737 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 05/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01119X | MEDICARE (01) | FL |
G56457 | (02) |