Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | ME 77234 | FL |
NPI | 1104367093 |
---|---|
Provider Name | Joyce Peabody |
First Address | Delray Beach, FL 33483-5962 |
Second Address | Delray Beach, FL 33483-5962 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2017 |
Last Update Date | 13/03/2017 |