Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | ME100409 | FL |
N | 208000000X | Pediatrician | MD071375L | PA |
NPI | 1184691487 |
---|---|
Provider Name | Ruby Ann Cayco-Bell |
First Address | Fort Lauderdale, FL 33312-7161 |
Second Address | Coral Springs, FL 33065-4108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2006 |
Last Update Date | 25/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0018307050001 | (05) | PA |
0812261000 | INDEPENDENCE BC (01) | PA |
280151500 | (05) | FL |
911056 | HIGHMARK BS (01) | PA |
H31381 | (02) |