Fl Southern Dental PA
NPI #1265133185 in St Augustine, Florida
Provider Information
- NPI Number
- 1265133185
- Entity Type
- Organization
- Organization Name
- Fl Southern Dental PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 16, 2023
- Last Updated
- Mar 16, 2023
Practice Location
- Address
- 100 WHETSTONE PL STE 308
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32086-5775
- Phone
- (904) 810-2345
Authorized Official
- Name
- CHRISTINE NELSON
- Title
- VP, REVENUE CYCLE
- Phone
- (469) 596-6011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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