Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME81160 | FL |
N | 2084N0400X | Neurologist | ME81160 | FL |
NPI | 1689628026 |
---|---|
Provider Name | Mery J Lossada |
First Address | Ocala, FL 34478-4860 |
Second Address | Ocala, FL 34474-8489 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 17/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01097 | BCBS (01) | FL |
01097Y | MEDICARE (01) | FL |
201890745 | TAX ID (01) | FL |
272842700 | (05) | FL |
I27107 | (02) | FL |