Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DN16086 | FL |
NPI | 1306959036 |
---|---|
Provider Name | Dr. John Louis Tumminia |
First Address | Boynton Beach, FL 33437-4857 |
Second Address | West Palm Beach, FL 33407-2361 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 08/07/2007 |