Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | TRN26275 | FL |
NPI | 1962992230 |
---|---|
Provider Name | Naile Tufan Pekkucuksen |
First Address | Plano, TX 75074-2092 |
Second Address | Gainesville, FL 32610-3003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2018 |
Last Update Date | 13/05/2018 |