Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME81079 | FL |
N | 111NI0900X | Internist | ME81079 | FL |
Y | 207RH0000X | Hematologist | ME81079 | FL |
NPI | 1174555080 |
---|---|
Provider Name | Teresa Field |
First Address | Atlanta, GA 30384-8441 |
Second Address | Tampa, FL 33612-9416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 04/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
254588800 | (05) | FL |
43726 | BLUE CROSS BLUE SHIELD (01) | FL |