Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | ME 102418 | FL |
NPI | 1023215050 |
---|---|
Provider Name | Laura White Kolshak |
First Address | Palm Springs, FL 33406-7620 |
Second Address | Palm Springs, FL 33406-7620 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2007 |
Last Update Date | 23/06/2021 |