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101 Flamingo Dr Ste D Apollo Beach FL 33572-2600 | |
| (813) 645-1501 | |
| (813) 645-3753 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 101 Flamingo Dr Ste D, Apollo Beach, Florida |
| Authorized Official Name and Position | Robert J Yu (OWNER) |
| Authorized Official Contact | 8136451501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
101 Flamingo Dr Ste D Apollo Beach FL 33572-2600 Ph: (813) 645-1501 | 101 Flamingo Dr Ste D Apollo Beach FL 33572-2600 Ph: (813) 645-1501 |
| NPI Number | 1851689392 |
|---|---|
| Provider Enumeration Date | 07/19/2011 |
| Last Update Date | 07/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851689392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN17038 (Florida) | Primary |
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