Provider Demographics
NPI:1083857338
Name:LIMOSANI, MARK ANTHONY (DMD MSC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:ANTHONY
Last Name:LIMOSANI
Suffix:
Gender:M
Credentials:DMD MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7800 SW 87TH AVE
Mailing Address - Street 2:SUITE B-240
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3570
Mailing Address - Country:US
Mailing Address - Phone:305-274-3636
Mailing Address - Fax:305-274-3615
Practice Address - Street 1:7800 SW 87TH AVE
Practice Address - Street 2:SUITE B-240
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3570
Practice Address - Country:US
Practice Address - Phone:305-274-3636
Practice Address - Fax:305-274-3615
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN192821223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics