Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | ME73862 | FL |
NPI | 1144237231 |
---|---|
Provider Name | Terri Ashmeade |
First Address | Orlando, FL 32891-0001 |
Second Address | Tampa, FL 33612-4742 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 26/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
259387400 | (05) | FL |
49953 | BLUE CROSS BLUE SHIELD (01) | FL |
H18718 | (02) | FL |