Marvin Debattista D.O.

NPI 1417012220 - Family Medicine - 207Q00000X

NPI Details
NPI 1417012220
Gender Male
Enumeration Date 12/22/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
700 ISLAND WAY APT 906
CLEARWATER FL, 33767-1846, US
Phone (727) 462-5411
Fax (727) 462-5411
Business Location
700 ISLAND WAY APT 906
CLEARWATER FL, 33767-1846, US
Phone (727) 462-5411
Fax (727) 462-5411
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number OS 4135
Remove 1417012220 NPI Number
 

According to our database, Dr. Marvin Debattista D.O. NPI is 1417012220, taxonomy code is 207Q00000X and license number is OS 4135, license state is located at Florida. Marvin Debattista D.O. physically located at 700 Island Way Apt 906, Clearwater FL, 33767-1846. NPI Number Marvin Debattista D.O. has the Individual type.

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1417012220 NPI number is provided on an as is basis without warranty of any kind. 1417012220 is maintained by the National Plan & Provider Enumeration System. The contents of Marvin Debattista D.O. are for informational purposes only.