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
Phone: (772) 567-1025
Fax: (772) 778-6597
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093929556 | NPPES |
| Florida | Other | 4552 | STATE LICENSE NUMBER |
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