Provider Demographics
NPI:1922014380
Name:DEVITO CONSULTING, INC.
Entity Type:Organization
Organization Name:DEVITO CONSULTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/VP/SEC/TREAS
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:DEVITO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:727-725-4744
Mailing Address - Street 1:2745 STATE ROAD 580
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-3359
Mailing Address - Country:US
Mailing Address - Phone:727-725-4744
Mailing Address - Fax:727-725-1561
Practice Address - Street 1:2745 STATE ROAD 580
Practice Address - Street 2:SUITE 103
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-3359
Practice Address - Country:US
Practice Address - Phone:727-725-4744
Practice Address - Fax:727-725-1561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN104721223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty