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Individual

MISS STEPHANIE DIMARTINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
9801 SEMINOLE BLVD, SEMINOLE, FL 33772-2555
(727) 397-7500
(727) 397-7577
Mailing address
9200 PARK BLVD APT 105, SEMINOLE, FL 33777-4135
(727) 776-5437

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA53583
FL

Other

Enumeration date
09/04/2008
Last updated
09/04/2008
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