Provider Demographics
NPI:1568827707
Name:MASIERI, VERONICA CECILIA
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:CECILIA
Last Name:MASIERI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:CECILIA
Other - Last Name:MASIERI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2657 CARAMBOLA CIR N # 2657
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33066-2432
Mailing Address - Country:US
Mailing Address - Phone:954-552-7456
Mailing Address - Fax:772-675-9100
Practice Address - Street 1:2657 CARAMBOLA CIR N
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33066-2432
Practice Address - Country:US
Practice Address - Phone:954-552-7456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other