Mary R De Sena M.D.

NPI 1104819853 - Family Medicine - 207Q00000X

NPI Details
NPI 1104819853
Gender Female
Enumeration Date 08/29/2005
Last Updated 08/18/2008
Entity Type Individual
Active Over 12 years ago
Practice Location
635 1ST ST N
WINTER HAVEN FL, 33881-4129, US
Phone (863) 294-0670
Fax (863) 298-3200
Business Location
635 1ST ST N
WINTER HAVEN FL, 33881-4129, US
Phone (863) 294-0670
Fax (863) 298-3200
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME90242
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According to our database, Dr. Mary R De Sena M.D. NPI is 1104819853, taxonomy code is 207Q00000X and license number is ME90242, license state is located at Florida. Mary R De Sena M.D. physically located at 635 1st St N, Winter Haven FL, 33881-4129. NPI Number Mary R De Sena M.D. has the Individual type.

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1104819853 NPI number is provided on an as is basis without warranty of any kind. 1104819853 is maintained by the National Plan & Provider Enumeration System. The contents of Mary R De Sena M.D. are for informational purposes only.