Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | ME 40265 | FL |
NPI | 1033183652 |
---|---|
Provider Name | Leon Francisco Hirzel III |
First Address | Miami, FL 33135-2961 |
Second Address | Miami, FL 33135-2961 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 11/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001080 | NHP (01) | FL |
068659000 | (05) | FL |
1023337 | CAREPLUS (01) | FL |
217613 | AVMED (01) | FL |
4257360 | AETNA (01) | FL |
96250 | BLUE CROSS BLUE SHIELD (01) | FL |
D78971 | (02) | FL |