Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | ME80388 | FL |
NPI | 1376558957 |
---|---|
Provider Name | Lubomir Sokol |
First Address | Atlanta, GA 30384-8441 |
Second Address | Tampa, FL 33612-9416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2006 |
Last Update Date | 14/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
264358800 | (05) | FL |
62072 | BLUE CROSS BLUE SHIELD (01) | FL |