Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME102519 | FL |
Y | 2080P0205X | Pediatric Endocrinologist | ME102519 | FL |
NPI | 1295887289 |
---|---|
Provider Name | Ms. Angelina Valladares Bernier |
First Address | Gainesville, FL 32610-3003 |
Second Address | Gainesville, FL 32610-4001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 15/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
015186200 | (05) | FL |