Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | ME138651 | FL |
NPI | 1437340676 |
---|---|
Provider Name | Marie Myrtha Gregoire-Bottex |
First Address | Miami, FL 33136-1013 |
Second Address | Miami, FL 33136-1013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 29/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1020745-00 | (05) | FL |