DPN-FL PA

BRADENTON, FL
NPI1750089728
Entity TypeOrganization
Authorized ContactDOMINICK LAGO
President
248-631-9171
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2023-02-20
Last Update Date2023-02-20
Business Address
DPN-FL PA
13517 DEEP BLUE PL
BRADENTON, FL 34211-4129
Phone number: 313-329-2646
Mailing Address
DPN-FL PA
13517 DEEP BLUE PL
BRADENTON, FL 34211-4129
Phone number: