Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 147029 | FL |
NPI | 1235558420 |
---|---|
Provider Name | Rida Javaid |
First Address | West Palm Beach, FL 33411-1468 |
Second Address | Saint Petersburg, FL 33701-4804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 24/09/2020 |