Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | ME55264 | FL |
NPI | 1083778393 |
---|---|
Provider Name | Sonia R Enriquez |
First Address | Orlando, FL 32806-1044 |
Second Address | Orlando, FL 32806-1044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2006 |
Last Update Date | 08/07/2007 |