Healthcare Provider Details

I. General information

NPI: 1023794302
Provider Name (Legal Business Name): MRS. MARIA GABRIELA TEMPONE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2023
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E STATE ROAD 434
LONGWOOD FL
32750-5258
US

IV. Provider business mailing address

500 E STATE ROAD 434
LONGWOOD FL
32750-5258
US

V. Phone/Fax

Practice location:
  • Phone: 407-988-1515
  • Fax:
Mailing address:
  • Phone: 407-988-1515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN30683
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: