Lamar, Susan Difabio

Lamar, Susan Difabio is an individual health care provider with primary practice located at 1531 Tamiami Trail S Suite 701, Venice FL 34285-5575. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Lamar, Susan Difabio can be contacted via phone (941) 497-5591.

Contact Information

Primary practice address
1531 Tamiami Trail S Suite 701 Venice FL 34285-5575
Fax: (941) 408-9351
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DN13785 Florida

Profile Details

NPI number 1285766915
LBN Legal business name Lamar, Susan Difabio
Credentials DMD MS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Mar 7th, 2023 - about last year

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 1285766915 NPPES
Florida Other 22035524 FLA DEPT OF REVENUE

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