Edward Mortellaro, DMD

NPI 1194068544 · on the registry since 2013 · sole proprietor

Practice

Address: 710 Oakfield Dr
Suite 126
Brandon, FL 33511
Phone: (813) 685-7733
Fax: (813) 681-9723
Organisation at this address: Hope 4 Life
Abn Enterprise Llc
Medi Plus Tampa Llc
Grow And Glow Therapy
Bercaw Neuropsychology
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 32

Registry record

Primary taxonomy: Periodontics
1223P0300X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-04-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida