Individual
MR. DALE MAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3793 OLEANDER AVE, FORT PIERCE, FL 34982-6503
(772) 871-7038
Mailing address
3793 OLEANDER AVE, FORT PIERCE, FL 34982-6503
(772) 871-7038
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
JB6798
FL
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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