Organization
MARNI L MENTIS DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARNI L MENTIS DO (PRESIDENT)
(727) 474-0205
Entity
Organization
Contact information
Practice address
401 CORBETT ST, SUSITE 310, BELLEAIR, FL 33756-7309
(727) 474-0205
(727) 474-9179
Mailing address
401 CORBETT ST, SUSITE 310, BELLEAIR, FL 33756-7309
(727) 474-0205
(727) 474-9179
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
OS8521
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS8521
MEDICAL LICENSE
FL
Enumeration date
11/06/2009
Last updated
11/06/2009
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