| Florida Dental Institute | |
|
1535 Prosperity Farms Rd Lake Park FL 33403-2025 | |
| (561) 848-0087 | |
| (561) 848-0987 |
| Full Name | Florida Dental Institute |
|---|---|
| Speciality | Dentist |
| Location | 1535 Prosperity Farms Rd, Lake Park, Florida |
| Authorized Official Name and Position | Anna Royzman (OWNER/DENTIST) |
| Authorized Official Contact | 5618480097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Dental Institute 1535 Prosperity Farms Rd Lake Park FL 33403-2025 Ph: (561) 848-0087 | Florida Dental Institute 1535 Prosperity Farms Rd Lake Park FL 33403-2025 Ph: (561) 848-0087 |
| NPI Number | 1699199315 |
|---|---|
| Provider Enumeration Date | 02/17/2014 |
| Last Update Date | 02/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699199315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN17148 (Florida) | Primary |
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