Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 062227 | CT |
N | 208600000X | Surgeon | 062227 | CT |
Y | 2086X0206X | Surgical Oncologist | 062227 | CT |
N | 2086X0206X | Surgical Oncologist | ME151258 | FL |
NPI | 1215903356 |
---|---|
Provider Name | Margaret C Shoup |
First Address | Orlando, FL 32806-2134 |
Second Address | Orlando, FL 32806-2134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 27/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H63590 | (02) |