Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | ME62529 | FL |
NPI | 1205874229 |
---|---|
Provider Name | Laleh Bahar-Posey |
First Address | St Petersburg, FL 33701 |
Second Address | St Petersburg, FL 33701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 07/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
17909 | BLUE CROSS OF FLORIDA (01) | FL |
221193 | AMERIGROUP (01) | FL |
371322900 | (05) | FL |
F44284 | (02) | FL |