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Provider Information for 1629349444

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. GINA COZZARELLI DMD

Gender: FEMALE

Individual NPI: 1629349444

Calendar   Last Updated:  2012-01-25
  Certification Date: 

Details

Name Value
NPI 1629349444
Enumeration Date 2012-01-25
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 1445 MAJESTY TERRACE
WESTON, FL 33327
United States

Phone: 954-249-1267 | Fax:
View Map External Link
Primary Practice Address 1445 MAJESTY TER
WESTON, FL 33327-2309
United States

Phone: 954-249-1267 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223X0400X - Dentist Orthodontics and Dentofacial Orthopedics FL DN17976