Mazzella Dibosco, Pam S

Mazzella Dibosco, Pam S is an sole proprietor health care provider with primary practice located at 11800 Sw 44 St , Davie FL 33330. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Mazzella Dibosco, Pam S can be contacted via phone (954) 274-5386.

Contact Information

Primary practice address
11800 Sw 44 St Davie FL 33330
Phone: (954) 274-5386
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X

Profile Details

NPI number 1033384375
LBN Legal business name Mazzella Dibosco, Pam S
Credentials IBCLC, RLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2008
Last updated Nov 20th, 2012 - about 12 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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