Central Florida Dental Group, Inc. | |
16215 State Road 50 Ste 102 Clermont FL 34711-6019 | |
(407) 654-4024 | |
(407) 654-4027 |
Full Name | Central Florida Dental Group, Inc. |
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Speciality | Clinic/center - Dental |
Location | 16215 State Road 50 Ste 102, Clermont, Florida |
Authorized Official Name and Position | Carlos Rodolfo Ortiz (PRESIDENT) |
Authorized Official Contact | 4076544024 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Central Florida Dental Group, Inc. 16215 State Road 50 Ste 102 Clermont FL 34711-6019 Ph: (407) 654-4024 | Central Florida Dental Group, Inc. 16215 State Road 50 Ste 102 Clermont FL 34711-6019 Ph: (407) 654-4024 |
NPI Number | 1801912233 |
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Provider Enumeration Date | 03/21/2007 |
Last Update Date | 07/25/2011 |
Identifier | Type | State | Issuer |
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1801912233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DN16410 (Florida) | Primary |
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