Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | ME0079129 | FL |
NPI | 1194807057 |
---|---|
Provider Name | Leigh B Hoppe |
First Address | Fort Pierce, FL 34950 |
Second Address | Fort Pierce, FL 34950 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 04/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
258301100 | (05) | FL |
E95707 | (02) |