| Faculty Associates, Inc | |
|
76011 William Burgess Boulevard Yulee FL 32097 | |
| (352) 273-5801 | |
| (352) 392-3070 |
| Full Name | Faculty Associates, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 76011 William Burgess Boulevard, Yulee, Florida |
| Authorized Official Name and Position | Jean M Sweitzer (SECRETARY/TREASURER) |
| Authorized Official Contact | 3522735787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faculty Associates, Inc 76011 William Burgess Boulevard Yulee FL 32097 Ph: (352) 273-5801 | Faculty Associates, Inc 76011 William Burgess Boulevard Yulee FL 32097 Ph: (352) 273-5801 |
| NPI Number | 1003451816 |
|---|---|
| Provider Enumeration Date | 11/15/2019 |
| Last Update Date | 11/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003451816 | NPI | - | NPPES |
| DN16197 | Other | FL | FL DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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