Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DN21402 | FL |
NPI | 1003299710 |
---|---|
Provider Name | Dr. Prematee D Sarwan |
First Address | Zephyrhills, FL 33541-4315 |
Second Address | Zephyrhills, FL 33541-4315 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2015 |
Last Update Date | 30/06/2015 |