Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | ME106555 | FL |
Y | 207VX0201X | Gynecologic Oncologist | ME 106555 | FL |
NPI | 1396713889 |
---|---|
Provider Name | Troy Antony Gatcliffe |
First Address | Atlanta, GA 30374-2057 |
Second Address | Miami, FL 33176-2118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 16/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002799100 | (05) | FL |