| Coast Florida P.a. | |
|
6882 Gulfport Blvd S South Pasadena FL 33707-2108 | |
| (727) 384-9655 | |
| (727) 384-9855 |
| Full Name | Coast Florida P.a. |
|---|---|
| Speciality | Dentist |
| Location | 6882 Gulfport Blvd S, South Pasadena, Florida |
| Authorized Official Name and Position | Melody Rivera (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8133507166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coast Florida P.a. 5706 Benjamin Center Dr Ste 103 Tampa FL 33634-5262 Ph: (813) 288-1999 | Coast Florida P.a. 6882 Gulfport Blvd S South Pasadena FL 33707-2108 Ph: (727) 384-9655 |
| NPI Number | 1295301513 |
|---|---|
| Provider Enumeration Date | 05/27/2021 |
| Last Update Date | 05/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295301513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Mantione & Mantione, D.m.d., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6967 Sunset Dr S, South Pasadena, FL 33707 Phone: 727-381-6929 Fax: 727-347-4009 |