LYSANDRO O TAPNIO DMD
Managed Care Organizations at Atlantic Blvd, Jacksonville, FL

License number
Florida DN10175
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. LYSANDRO ORDONEZ TAPNIO DMD
Title: PRESEIDENT
Phone: (904) 641-0944
Address
Address
10909 Atlantic Blvd STE 15, Jacksonville, FL 32225
National Provider ID: 1609241918
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LYSANDRO O TAPNIO DMD at bizstanding.com

Lysandro O. Tapnio, D.M.D., PA

10909 Atlantic Blvd, Jacksonville, FL 32225

Registration:
Oct 30, 1992
State ID:
P92000001812
Business type:
Domestic for Profit Corporation
Director:
Lysandro O. Tapnio (Director)

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