NPIRadar

Eugene Michael Dibetta, D.O. Valid NPI

Individual provider · Family Medicine Physician · Largo, FL

NPI
1467761064
Type
Individual (Type 1)
Primary specialty
Family Medicine Physician (Family Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207Q00000X
License number
OS11136 (FL)
Sex
Male
Sole proprietor
Yes
Enumerated
2010-09-29
Last updated
2012-06-26
Practice location
12020 Seminole Blvd
Largo, FL 33778-2805
(727) 588-9572

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