Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | ME0078925 | FL |
NPI | 1003928433 |
---|---|
Provider Name | Roh Afridi |
First Address | Plant City, FL 33563-4731 |
Second Address | Plant City, FL 33563-4731 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01689 | BCBS (01) | FL |
261456100 | (05) | FL |
H34677 | (02) | FL |
P00241243 | RAILROAD MEDICARE (01) | FL |