Isaacs, Mary Rose

Isaacs, Mary Rose is an individual health care provider with primary practice located at 5965 Red Bug Lake Rd Suite 233, Winter Springs FL 32708-5080. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Isaacs, Mary Rose can be contacted via phone (407) 696-5210.

Contact Information

Primary practice address
5965 Red Bug Lake Rd Suite 233 Winter Springs FL 32708-5080
Phone: (407) 696-5210
Fax: (407) 696-6488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN 13097 Florida

Profile Details

NPI number 1750486833
LBN Legal business name Isaacs, Mary Rose
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750486833 NPPES
Other 642592 UNITED CONCORDIA
Other 69975 UNITED CONCORDIA

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