Individual
MR. MICHAEL ANTHONY DIMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2900 VETERANS WAY, VIERA, FL 32940-8007
(321) 637-3788
(321) 637-3507
Mailing address
2795 SUMMER BROOK ST, MELBOURNE, FL 32940-7141
(321) 254-5661
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9103718
FL
Other
Enumeration date
03/24/2006
Last updated
07/09/2007
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