Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | 9254584 | FL |
NPI | 1083032734 |
---|---|
Provider Name | Luz Marina Arias |
First Address | Tampa, FL 33607-6453 |
Second Address | Tampa, FL 33607-6453 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2014 |
Last Update Date | 31/03/2014 |