Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | ME89786 | FL |
NPI | 1013012541 |
---|---|
Provider Name | Marie-Carmelle C Liburd |
First Address | Miami, FL 33150-2063 |
Second Address | Miami, FL 33150-2063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 11/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I30619 | (02) | NJ |