| Doctor Name: | BETINA P LAIOLO |
| NPI Number: | 1275716573 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 2007032916 |
| Business Practice Address: | 6035 Cypress Gardens Blvd Winter Haven, FL - 338844115 |
| Business Phone Number: | 8633244725 |
| Business Fax Number: | 8633244783 |
| Mailing Address: | 6035 Cypress Gardens Blvd, WINTER HAVEN |
| State: | FL |
| Postal Code: | 338844115 |
| Phone Number: | 8633244725 |
| Fax Number: | 8633244783 |
| NPI Enumeration Date: | 12/10/2007 |
| NPI Last Update Date: | 04/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2007032916 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |