Most Relevant Information
Provider Data
| NPI Number: | 1003365669 |
| Provider Name: | MARY CHRISTINE UNGER PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: | PTA803 |
Most Important Dates
| Enumeration Date: | 09/23/2016 |
| Last Updated: | 09/23/2016 |
Provider Practice Location
14017 TAYCO DR
WEEKI WACHEE
FL
346141852
Practice Location Phone/Fax
| Phone: | 7279062719 |
| Fax: |
Provider Mailing Location
14107 TAYCO DR
WEEKI WACHEE
FL
34614
Provider Mailing Phone/Fax
| Phone: | 7279062719 |
| Fax: |