| Bonita Springs Edc Management Llc | |
|
8553 W Linebaugh Ave Tampa FL 33625-3731 | |
| (813) 926-9228 | |
| Not Available |
| Full Name | Bonita Springs Edc Management Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8553 W Linebaugh Ave, Tampa, Florida |
| Authorized Official Name and Position | Michael Obeng (MANAGER) |
| Authorized Official Contact | 4029814136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonita Springs Edc Management Llc Po Box 788 Boys Town NE 68010-0788 Ph: (402) 658-4687 | Bonita Springs Edc Management Llc 8553 W Linebaugh Ave Tampa FL 33625-3731 Ph: (813) 926-9228 |
| NPI Number | 1205304375 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 08/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205304375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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