Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | ME0035862 | FL |
NPI | 1053344820 |
---|---|
Provider Name | Mr. Ira R Lefkof |
First Address | Hollywood, FL 33021-8249 |
Second Address | Hollywood, FL 33021-8249 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 20/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
370321500 | (05) | FL |
D63143 | (02) |