Marie Benson, TATTOO SPECIALIST
Individual provider Active NPI Medical Art Specialist/Technologist · Estero, FL
NPI 1760837835 · NPPES record last updated Apr 26, 2016
Key facts
- NPI
- 1760837835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Art Specialist/Technologist 246ZA2600X
- License
- 1441581056 (FL)
- Practice address
- 20400 Trailside Dr
Estero, FL 33928-2146 - Phone
- (239) 728-1234
- Fax
- (239) 949-7737
- NPI assigned
- Apr 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1441581056 | FL | MD | Medical Art Specialist/Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Art Specialist/Technologist | 246ZA2600X | 1441581056 | FL | Yes |
Addresses
Primary practice location
20400 Trailside Dr
Estero, FL 33928-2146
Mailing address
20400 Trailside Dr
Estero, FL 33928-2146
Phone (239) 728-1234
Other providers in Estero, FL
- Robert Paul Belin
- Olivier Belizaire
- Ricardo Bendeck
- Valmira Bendi
- Barbara Bensema
- Eli Robert Berkofsky
- Maria L Bernabe
- Jessica Nicole Bernardo
- Adam Bernosky
- Deborah Lynne Bigler
All providers in Estero, FL · Medical Art Specialist/Technologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.