| Codims Of Tampa Bay Llc | |
|
6515 Gunn Hwy Tampa FL 33625-4021 | |
| (813) 968-5400 | |
| (813) 968-4433 |
| Full Name | Codims Of Tampa Bay Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6515 Gunn Hwy, Tampa, Florida |
| Authorized Official Name and Position | Ernesto Valiente (GENERAL MANAGER) |
| Authorized Official Contact | 8139685400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Codims Of Tampa Bay Llc 6515 Gunn Hwy Tampa FL 33625-4021 Ph: (813) 968-5400 | Codims Of Tampa Bay Llc 6515 Gunn Hwy Tampa FL 33625-4021 Ph: (813) 968-5400 |
| NPI Number | 1932390697 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 08/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932390697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 15074 (Florida) | Primary |
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