| Florida Family Dental Llc | |
|
10624 S Federal Hwy Port St Lucie FL 34952-6401 | |
| (772) 380-0920 | |
| (772) 380-0921 |
| Full Name | Florida Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10624 S Federal Hwy, Port St Lucie, Florida |
| Authorized Official Name and Position | Manuel Ignacio Cruces (DENTIST, DIRECTOR) |
| Authorized Official Contact | 7723800920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Family Dental Llc 10624 S Federal Hwy Port St Lucie FL 34952-6401 Ph: (772) 380-0920 | Florida Family Dental Llc 10624 S Federal Hwy Port St Lucie FL 34952-6401 Ph: (772) 380-0920 |
| NPI Number | 1154759041 |
|---|---|
| Provider Enumeration Date | 10/31/2013 |
| Last Update Date | 10/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154759041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN18716 (Florida) | Primary |
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