Organization Name: | DIANA ESTORINO |
NPI Number: | 1003924671 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANA ESTORINO (OWNER) |
Mailing Address: | 5800 49th St N Suite 202 St Petersburg |
State: | FL US |
Postal Code: | 337092146 |
Phone Number: | 7275201500 |
Fax Number: | 7275201588 |
NPI Enumeration Date: | 08/25/2006 |
NPI Last Update Date: | 09/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |