Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | ME109464 | FL |
N | 208000000X | Pediatrician | 109464 | FL |
N | 208000000X | Pediatrician | ME109464 | FL |
NPI | 1447554886 |
---|---|
Provider Name | Yanetsi Flores Landa |
First Address | Miami, FL 33155-3009 |
Second Address | Miami, FL 33155 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2010 |
Last Update Date | 13/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003616900 | (05) | FL |