Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | ME77908 | FL |
NPI | 1669794004 |
---|---|
Provider Name | Rinki G Verma |
First Address | Orange City, FL 32763-8255 |
Second Address | Orange City, FL 32763-8255 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2010 |
Last Update Date | 22/08/2011 |