Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | ME113294 | FL |
NPI | 1073756565 |
---|---|
Provider Name | Maritza Annette Plaza-Verduin |
First Address | Gainesville, FL 32610-0186 |
Second Address | Gainesville, FL 32610-0186 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2009 |
Last Update Date | 26/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
007230400 | (05) | FL |