| Coast Florida P.a. | |
|
3245 Garden St Titusville FL 32796-3004 | |
| (321) 269-2700 | |
| (321) 269-6045 |
| Full Name | Coast Florida P.a. |
|---|---|
| Speciality | Dentist |
| Location | 3245 Garden St, Titusville, 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. 3245 Garden St Titusville FL 32796-3004 Ph: (321) 269-2700 |
| NPI Number | 1750957171 |
|---|---|
| Provider Enumeration Date | 05/27/2021 |
| Last Update Date | 05/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750957171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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Brian P. Baker Dmd,pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1625 S Washington Ave, Suite B, Titusville, FL 32780 Phone: 321-267-7072 Fax: 321-267-4948 | |
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Jan L. Spagnoli Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 N Carpenter Rd, Titusville, FL 32796 Phone: 321-269-3802 |