Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | ME101795 | FL |
N | 207RH0003X | Hematology & Oncology | M1173 | TX |
Y | 207RX0202X | Medical Oncology | ME101795 | FL |
NPI | 1376713727 |
---|---|
Provider Name | Nuruddin Jooma |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Clearwater, FL 33756-3312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2008 |
Last Update Date | 13/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000272700 | (05) | FL |