Dental Associates of Florida (south Brandon) Pllc

NPI #1548710403 in Brandon, Florida

Provider Information

NPI Number: 1548710403
Entity Type: Organization
Organization Name: Dental Associates of Florida (south Brandon) Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 4, 2016
Last Updated: Oct 5, 2016

Practice Location

Address: 611 E BLOOMINGDALE AVE
City: Brandon
State: Florida
ZIP Code: 33511-8127
Phone: (813) 684-6279

Authorized Official

Name: MIKE COLE
Title: VP INUSURANCE PLAN MANAGEMENT
Phone: (941) 955-3150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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