Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DN16666 | FL |
NPI | 1760458798 |
---|---|
Provider Name | Mrs. Frances Elizabeth Bey |
First Address | Bunnell, FL 32110-6212 |
Second Address | Bunnell, FL 32110-6212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 13/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
075787000 | (05) | FL |