Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | OS11266 | FL |
NPI | 1275709818 |
---|---|
Provider Name | Mr. Rabinder Singh Bhatti |
First Address | Daytona Beach, FL 32117-5990 |
Second Address | Lake Mary, FL 32746-5700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2008 |
Last Update Date | 27/12/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
FG661Y | (02) | FL |