| Cdpg, P.l. | |
|
775 E Merritt Island Cswy Ste 220 Merritt Island FL 32952-3311 | |
| (321) 453-0696 | |
| Not Available |
| Full Name | Cdpg, P.l. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 775 E Merritt Island Cswy Ste 220, Merritt Island, Florida |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cdpg, P.l. 775 E Merritt Island Cswy Ste 220 Merritt Island FL 32952-3311 Ph: (321) 453-0696 | Cdpg, P.l. 775 E Merritt Island Cswy Ste 220 Merritt Island FL 32952-3311 Ph: (321) 453-0696 |
| NPI Number | 1245991017 |
|---|---|
| Provider Enumeration Date | 01/04/2022 |
| Last Update Date | 01/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245991017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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