Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | ME112744 | FL |
NPI | 1033278296 |
---|---|
Provider Name | Lenka Offner |
First Address | Sarasota, FL 34239-2900 |
Second Address | Sarasota, FL 34239-2900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 14/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0066325-00 | (05) | FL |
14MX4 | BCBS (01) | FL |