| Ad34 Florida P.a | |
|
2896 S 8th St Fernandina Beach FL 32034-4462 | |
| (904) 261-6826 | |
| Not Available |
| Full Name | Ad34 Florida P.a |
|---|---|
| Speciality | Dentist |
| Location | 2896 S 8th St, Fernandina Beach, Florida |
| Authorized Official Name and Position | Andrew Dormeshian (OWNER) |
| Authorized Official Contact | 9178476976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ad34 Florida P.a 401 Commerce Dr Suite 108 Fort Washington PA 19034-2714 Ph: (215) 550-4590 | Ad34 Florida P.a 2896 S 8th St Fernandina Beach FL 32034-4462 Ph: (904) 261-6826 |
| NPI Number | 1568900785 |
|---|---|
| Provider Enumeration Date | 02/08/2017 |
| Last Update Date | 02/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568900785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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