| Faculty Associates, St Pete Clinic | |
|
9200 113th St Seminole FL 33772-2800 | |
| (727) 394-6040 | |
| Not Available |
| Full Name | Faculty Associates, St Pete Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9200 113th St, Seminole, Florida |
| Authorized Official Name and Position | Ana Isabel Garcia (DEAN) |
| Authorized Official Contact | 3522735800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faculty Associates, St Pete Clinic Po Box 100425 1600 Sw Archer Road, D4-6 Gainesville FL 32610-0425 Ph: (352) 273-5800 | Faculty Associates, St Pete Clinic 9200 113th St Seminole FL 33772-2800 Ph: (727) 394-6040 |
| NPI Number | 1255379004 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 02/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255379004 | NPI | - | NPPES |
| 073969303 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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