Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | ME125781 | FL |
NPI | 1063775674 |
---|---|
Provider Name | Ms. Victoria Loseva |
First Address | Boca Raton, FL 33486-1345 |
Second Address | Boca Raton, FL 33486-1345 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2012 |
Last Update Date | 23/03/2021 |