Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | ME65232 | FL |
NPI | 1225088875 |
---|---|
Provider Name | Robert W Vogt Lowell |
First Address | Sunrise, FL 33323-2823 |
Second Address | Miami, FL 33173-2535 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 11/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F41617 | (02) |