Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | ME32703 | FL |
NPI | 1144215237 |
---|---|
Provider Name | Mr. Frank P Filiberto |
First Address | Palm Bay, FL 32905-2937 |
Second Address | Palm Bay, FL 32905-2937 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2005 |
Last Update Date | 08/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
066532100 | (05) | FL |
D51295 | (02) |