Provider Demographics
NPI:1609066166
Name:MAROTTA, JEANNE FRANCIS
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:FRANCIS
Last Name:MAROTTA
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 1:7510 LAKE FOREST CIR
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-5827
Mailing Address - Country:US
Mailing Address - Phone:727-847-3252
Mailing Address - Fax:727-847-3252
Practice Address - Street 1:7510 LAKE FOREST CIR
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-5827
Practice Address - Country:US
Practice Address - Phone:727-847-3252
Practice Address - Fax:727-847-3252
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist