FLORIDIAN DENTAL AT PALMETTO BAY LLC NPI 1689118523

NPI Information

NPI: 1689118523
Provider Name: FLORIDIAN DENTAL AT PALMETTO BAY, LLC

Doing Business As: FLORIDIAN DENTAL AT PALMETTO BAY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
15801 S DIXIE HWY
SUITE B
PALMETTO BAY, FL
ZIP 33157
Phone: (305) 255-4140
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FLORIDIAN DENTAL AT PALMETTO BAY, LLC is a dental clinic center in Palmetto Bay, FL. FLORIDIAN DENTAL AT PALMETTO BAY, LLC NPI is 1689118523. The provider is registered as an organization entity type.
The provider Is Doing Business As Floridian Dental At Palmetto Bay.

The provider's business location address is:

15801 S DIXIE HWY
SUITE B
PALMETTO BAY, FL
ZIP 33157-837
Phone: (305) 255-4140
Fax: (305) 252-8323

The provider's authorized official is Elizabeth Heredia .
The authorized official title is Office Manager and has the following contact phone number (305) 255-4140.

The enumeration date for this NPI number is 12/12/2016 and was last updated on 12/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DN19253	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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