Individual
TUNISIA ELLIS PENTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 MANGO CIR, NAPLES, FL 34110-3403
(407) 927-7271
Mailing address
5801 MANGO CIR, NAPLES, FL 34110-3403
(407) 927-7271
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
FL
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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