Sea Breeze 503 LLC
NPI #1245998582 in Cocoa Beach, Florida
Provider Information
- NPI Number
- 1245998582
- Entity Type
- Organization
- Organization Name
- Sea Breeze 503 LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 3, 2021
- Last Updated
- Dec 3, 2021
Practice Location
- Address
- 503 N ORLANDO AVE STE 101
- City
- Cocoa Beach
- State
- Florida
- ZIP Code
- 32931-3171
- Phone
- (321) 784-4321
Authorized Official
- Name
- HARDIK PATEL, DDS
- Title
- SOLO PROPRIETOR
- Phone
- (321) 784-4321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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