| Taira Dilallo, | |
|
3820 Colonial Blvd Ste 102, Fort Myers, FL 33966-1094 | |
| (239) 208-9449 | |
| Not Available |
| Full Name | Taira Dilallo |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 3820 Colonial Blvd Ste 102, Fort Myers, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922470558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN1083581 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Taira Dilallo, 3820 Colonial Blvd Ste 102, Fort Myers, FL 33966-1094 Ph: (239) 208-9449 | Taira Dilallo, 3820 Colonial Blvd Ste 102, Fort Myers, FL 33966-1094 Ph: (239) 208-9449 |
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