Della Porta, Raymond A

Della Porta, Raymond A is an sole proprietor health care provider with primary practice located at 1300 36Th St Suite F, Vero Beach FL 32960-4898. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Della Porta, Raymond A can be contacted via phone (772) 567-1025.

Contact Information

Primary practice address
1300 36Th St Suite F Vero Beach FL 32960-4898
Fax: (772) 778-6597
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4552 Florida

Profile Details

NPI number 1093929556
LBN Legal business name Della Porta, Raymond A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093929556 NPPES
Florida Other 4552 STATE LICENSE NUMBER

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