| |
247 Tamiami Trl S Nokomis FL 34275-3136 | |
(941) 486-8500 | |
(941) 412-9400 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 247 Tamiami Trl S, Nokomis, Florida |
Authorized Official Name and Position | James Mccloud (PRESIDENT/CEO) |
Authorized Official Contact | 9413631852 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3333 N Washington Blvd Suite 3 Sarasota FL 34234-6221 Ph: () - | 247 Tamiami Trl S Nokomis FL 34275-3136 Ph: (941) 486-8500 |
NPI Number | 1619278298 |
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Provider Enumeration Date | 11/12/2010 |
Last Update Date | 11/12/2010 |
Identifier | Type | State | Issuer |
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1619278298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | DN 4922 (Florida) | Primary |