Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DN 18088 | FL |
NPI | 1205011871 |
---|---|
Provider Name | Dr. Fiorrella Leonor Potesta-Knoll |
First Address | Orlando, FL 32806-1108 |
Second Address | Orlando, FL 32806-1108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2008 |
Last Update Date | 02/01/2008 |