Healthcare Provider Details

I. General information

NPI: 1770512683
Provider Name (Legal Business Name): REMO PRATO DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 45TH ST
WEST PALM BEACH FL
33407-2361
US

IV. Provider business mailing address

301 COLONIAL RD
WEST PALM BEACH FL
33405-4305
US

V. Phone/Fax

Practice location:
  • Phone: 561-514-5310
  • Fax:
Mailing address:
  • Phone: 561-586-0954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License NumberDN5859
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: