Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roberto Daniel Laricchia Suppa

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174376677

Roberto Daniel Laricchia Suppa is a Student in an Organized Health Care Education/Training Program in Oviedo, Florida. Practices as a sole proprietor. Licensed in Florida and Ohio.

Licensed in
FL, OH
In the registry since
2024
Specialties on file
2

Practice location Address checks out

4250 Alafaya Trl Ste 180
Oviedo, FL 32765-9419
Phone: (407) 359-1960
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN32241 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence RES.004728 (OH)

Record details

NPI number1174376677
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 8, 2024
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address4250 Alafaya Trl Ste 180, Oviedo, FL 32765-9419

Other providers in Oviedo