Organization
ITALIAN AND INDIAN ADVENTURES INC
Active
Other names
desoto vision center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS CAPOZELLA L.D.O. (PRESIDENT)
(941) 747-5567
Entity
Organization
Contact information
Practice address
3611 1ST ST, SUITE 640, BRADENTON, FL 34208-4400
(941) 747-5567
(941) 748-0761
Mailing address
3611 1ST ST, SUITE 640, BRADENTON, FL 34208-4400
(941) 747-5567
(941) 748-0761
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DO1473
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D6744
BCBS OF FLORIDA
FL
Enumeration date
07/30/2008
Last updated
07/30/2008
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