| Basista & Eldridge Dds Pa | |
|
2454 Winkler Ave Fort Myers FL 33901 | |
| (239) 936-3866 | |
| (239) 939-5098 |
| Full Name | Basista & Eldridge Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2454 Winkler Ave, Fort Myers, Florida |
| Authorized Official Name and Position | Michael John Basista (PRESIDENT TREASURER) |
| Authorized Official Contact | 2399363866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Basista & Eldridge Dds Pa 2454 Winkler Ave Fort Myers FL 33901 Ph: (239) 936-3866 | Basista & Eldridge Dds Pa 2454 Winkler Ave Fort Myers FL 33901 Ph: (239) 936-3866 |
| NPI Number | 1881766392 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881766392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Florida) | Primary |
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