| Dr. Perry Shievitz Llc | |
|
7924 Sw 104th St Miami FL 33156-3632 | |
| (305) 274-4112 | |
| (305) 274-5566 |
| Full Name | Dr. Perry Shievitz Llc |
|---|---|
| Speciality | Dentist |
| Location | 7924 Sw 104th St, Miami, Florida |
| Authorized Official Name and Position | Perry Shievitz (MANAGING MEMBER) |
| Authorized Official Contact | 3052744112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Perry Shievitz Llc 7924 Sw 104th St Miami FL 33156-3632 Ph: (305) 274-4112 | Dr. Perry Shievitz Llc 7924 Sw 104th St Miami FL 33156-3632 Ph: (305) 274-4112 |
| NPI Number | 1861556243 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861556243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN 15868 (Florida) | Primary |
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