| Coast Palm Bay Pl | |
|
5706 Benjamin Center Dr Ste 103 Tampa FL 33634 | |
| (813) 350-7160 | |
| (813) 434-2325 |
| Full Name | Coast Palm Bay Pl |
|---|---|
| Speciality | Dentist |
| Location | 5706 Benjamin Center Dr Ste 103, Tampa, Florida |
| Authorized Official Name and Position | Darlene Finnell (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 8133507160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coast Palm Bay Pl 5706 Benjamin Center Dr Ste 103 Tampa FL 33634-5262 Ph: (813) 350-7160 | Coast Palm Bay Pl 5706 Benjamin Center Dr Ste 103 Tampa FL 33634 Ph: (813) 350-7160 |
| NPI Number | 1609967769 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 07/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609967769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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