Provider Demographics
NPI:1508582602
Name:DOLZ-AMIOT, DENIA A
Entity Type:Individual
Prefix:
First Name:DENIA
Middle Name:A
Last Name:DOLZ-AMIOT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3876 CALLE DE JARDIN APT 304
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33905-5216
Mailing Address - Country:US
Mailing Address - Phone:336-823-1830
Mailing Address - Fax:
Practice Address - Street 1:3876 CALLE DE JARDIN APT 304
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33905-5216
Practice Address - Country:US
Practice Address - Phone:336-823-1830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician