Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | ME104616 | FL |
NPI | 1073514386 |
---|---|
Provider Name | Steven Gerard Achinger |
First Address | Lakeland, FL 33805-3065 |
Second Address | Lakeland, FL 33805-3019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 22/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H74060 | (02) | TX |