Doctor Name: | DONNA MARIE DISANTI |
NPI Number: | 1003063538 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP2940562 |
Business Practice Address: | 508 N Alexander St Suite 1 Plant City, FL - 335633036 |
Business Phone Number: | 8137596607 |
Business Fax Number: | 8137598997 |
Mailing Address: | 37908 Daughtery Rd, Suite A ZEPHYRHILLS |
State: | FL |
Postal Code: | 335411316 |
Phone Number: | 8137808620 |
Fax Number: | 8137808619 |
NPI Enumeration Date: | 08/27/2008 |
NPI Last Update Date: | 10/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | ARNP2940562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |