Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | DN16200 | FL |
NPI | 1043369937 |
---|---|
Provider Name | Dr. Marineyda Oyola |
First Address | Sarasota, FL 34233-2301 |
Second Address | Sarasota, FL 34233-2301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 28/08/2008 |