Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | ME127480 | FL |
NPI | 1033401625 |
---|---|
Provider Name | Nahomy Calixte |
First Address | Clermont, FL 34714-9656 |
Second Address | Clermont, FL 34714-9656 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2011 |
Last Update Date | 25/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
017585500 | (05) | FL |
IP380Z | (02) | FL |