Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | PA9108197 | FL |
NPI | 1003214362 |
---|---|
Provider Name | Mrs. Caroline Brooke Epstein |
First Address | Orange City, FL 32763-8397 |
Second Address | Orange City, FL 32763-8397 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2014 |
Last Update Date | 06/04/2020 |