| Gatordds Pa | |
|
595 Bay Isles Rd Suite 110 Longboat Key FL 34228-3149 | |
| (941) 383-6400 | |
| (941) 383-6435 |
| Full Name | Gatordds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 595 Bay Isles Rd, Longboat Key, Florida |
| Authorized Official Name and Position | Michael J O'neil (OWNER) |
| Authorized Official Contact | 9413836400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gatordds Pa 595 Bay Isles Rd Suite 110 Longboat Key FL 34228-3149 Ph: (941) 383-6400 | Gatordds Pa 595 Bay Isles Rd Suite 110 Longboat Key FL 34228-3149 Ph: (941) 383-6400 |
| NPI Number | 1306201074 |
|---|---|
| Provider Enumeration Date | 12/23/2015 |
| Last Update Date | 01/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306201074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN18506 (Florida) | Primary |