Izzo, Mary Theresa

Izzo, Mary Theresa is an individual health care provider with primary practice located at 999 W Plymouth Ave , Deland FL 32720-3134. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Izzo, Mary Theresa can be contacted via phone (386) 740-7080.

Contact Information

Primary practice address
999 W Plymouth Ave Deland FL 32720-3134
Phone: (386) 740-7080
Fax: (386) 734-0821
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0876802 Florida

Profile Details

NPI number 1023145752
LBN Legal business name Izzo, Mary Theresa
Credentials PHD, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Apr 4th, 2019 - about 5 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.

Request for update

Popular Providers