Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | ME69970 | FL |
NPI | 1659330033 |
---|---|
Provider Name | Marilin Francisca Espino-Maya |
First Address | Tampa, FL 33612-5513 |
Second Address | Tampa, FL 33612-5513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2006 |
Last Update Date | 17/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
118764 | (05) | AL |
253931400 | (05) | FL |
G67601 | (02) | FL |