Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | DN16441 | FL |
NPI | 1093054405 |
---|---|
Provider Name | Dr. Juan E. Savelli |
First Address | Stuart, FL 34994-3509 |
Second Address | Stuart, FL 34994 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2013 |
Last Update Date | 05/02/2013 |