Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | ME105073 | FL |
N | 207RC0000X | Internist - Cardiovascular Disease | 036-109632 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | 036109632 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | ME105073 | FL |
NPI | 1255353330 |
---|---|
Provider Name | Maria C Karam Demori |
First Address | Orlando, FL 32806-1215 |
Second Address | Orlando, FL 32806-1215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 23/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001466000 | (05) | FL |
ME105073 | MEDICAL LICENSE (01) | FL |