Individual
DR. IRMA M TASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10000 BAY PINES BLVD, MAIL CODE 160 BAY PINES VAHCS, ST. PETERSBURG, FL 33744
(727) 398-6661
(727) 319-1146
Mailing address
2109 BAYSHORE BLVD, #403, TAMPA, FL 33606-3155
(813) 254-0747
(727) 319-1146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN15428
FL STATE LICENSE #
FL
Enumeration date
07/02/2006
Last updated
07/08/2007
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