Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | ME80692 | FL |
NPI | 1023472461 |
---|---|
Provider Name | Theodore Turnquest |
First Address | Ft Lauderdale, FL 33309-7105 |
Second Address | Nassau, NEW PROVIDENCE 00000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2016 |
Last Update Date | 12/04/2016 |