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NPI Code Detail

MEDICARE: MS. MONICA LOANI TABBITA DDS

MEDICARE: MS. MONICA LOANI TABBITA DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN18193FL

General Provider Information

NPI Number : 1124209010
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MONICA LOANI TABBITA DDS
Provider Business Mailing Address
First Line : 3900 COLONIAL BLVD STE 4
Second Line :
City : FORT MYERS
State : FL
Zip : 33966-1014
Country : US
Telephone Number : 239-332-2227
Fax Number : 239-332-2228
Provider Business Practice Location Address
First Line : 3900 COLONIAL BLVD STE 4
Second Line :
City : FORT MYERS
State : FL
Zip : 33966-1014
Country : US
Telephone Number : 239-332-2227
Fax Number : 239-332-2228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2007
Last Update Date : 05/13/2024

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Directions to “ MS. MONICA LOANI TABBITA DDS” Practice Location

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