| Ceravolo & Cordero | |
|
1037 S State Road 7 Suite 217 Wellington FL 33414-6138 | |
| (561) 790-5700 | |
| (561) 790-5701 |
| Full Name | Ceravolo & Cordero |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1037 S State Road 7, Wellington, Florida |
| Authorized Official Name and Position | Joseph James Ceravolo (PERIODONTIST) |
| Authorized Official Contact | 5617905700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ceravolo & Cordero 1037 S State Road 7 Suite 217 Wellington FL 33414-6138 Ph: (561) 790-5700 | Ceravolo & Cordero 1037 S State Road 7 Suite 217 Wellington FL 33414-6138 Ph: (561) 790-5700 |
| NPI Number | 1760784854 |
|---|---|
| Provider Enumeration Date | 11/23/2010 |
| Last Update Date | 11/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760784854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 10720 (Florida) | Primary |
| 1223P0300X | Dentist - Periodontics | 12671 (Florida) | Secondary |
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