Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207VX0201X | Obstetrics & Gynecology | Gynecologic Oncology | ME77021 | FLORIDA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 50345 | OTHER | FLORIDA | NEIGHBORHOOD PROV. # |
| 2 | 1952396459 | OTHER | FLORIDA | MD MEDICARE CHOICE |
| 3 | 52127 | OTHER | FLORIDA | BCBS OF FL. PROVIDER # |
| 4 | U3634Z | MEDICARE PIN | FLORIDA | |
| 5 | 8641070-001 | OTHER | FLORIDA | CIGNA HMO PROVIDER NUMBER |
| 6 | GS076660 | OTHER | FLORIDA | VISTA PROVIDER NUMBER |
| 7 | 000021064-W | OTHER | FLORIDA | HUMANA PROVIDER NUMBER |
| 8 | 0296791 | OTHER | FLORIDA | GHI PROVIDER NUMBER |
| 9 | 270790000 | MEDICAID | FLORIDA | |
| 10 | 326631 | OTHER | FLORIDA | WELLCARE PROVIDER NUMBER |
| 11 | 3604 | OTHER | FLORIDA | TOTAL HLTH CH. PROV. # |
| 12 | 295791 | OTHER | FLORIDA | AVMED THRU PARITY PROV. # |
| 13 | 8641070-002 | OTHER | FLORIDA | CIGNA PPO PROVIDER NUMBER |
| 14 | 969333 | OTHER | FLORIDA | USA MNGD. CR. PROV. # |
| 15 | I20045 | MEDICARE UPIN | FLORIDA | |
| 16 | 7136647 | OTHER | FLORIDA | AETNA PROVIDER NUMBER |
