Individual
MRS. CAROLYN ANN DAMATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSTFA
Contact information
Practice address
1350 13TH STREET, ORANGE CITY, FL 32763
(386) 774-7985
Mailing address
1350 13TH STREET, ORANGE CITY, FL 32763
(386) 774-7985
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
FL
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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