Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | ME0057002 | FL |
NPI | 1376613430 |
---|---|
Provider Name | Mark A Epstein |
First Address | Miami, FL 33155-4071 |
Second Address | Weston, FL 33331 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 24/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
056883000 | (05) | FL |
F14843 | (02) |