Gerald A Cioffi Dmd Pa | |
767 Blanding Blvd Suite 108 Orange Park FL 32065-8721 | |
(904) 272-6244 | |
(904) 276-0038 |
Full Name | Gerald A Cioffi Dmd Pa |
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Speciality | Dentist |
Location | 767 Blanding Blvd, Orange Park, Florida |
Authorized Official Name and Position | Gerald Alfred Cioffi (DENITST/PRESIDENT) |
Authorized Official Contact | 9042726244 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gerald A Cioffi Dmd Pa 767 Blanding Blvd Suite 108 Orange Park FL 32065-8721 Ph: (904) 272-6244 | Gerald A Cioffi Dmd Pa 767 Blanding Blvd Suite 108 Orange Park FL 32065-8721 Ph: (904) 272-6244 |
NPI Number | 1609809615 |
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Provider Enumeration Date | 07/10/2006 |
Last Update Date | 03/20/2008 |
Medicare PECOS PAC ID | 7911023841 |
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Medicare Enrollment ID | O20100928000962 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609809615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DN 11577 (Florida) | Primary |
Provider Name | Jerry A Cioffi |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1326229329 PECOS PAC ID: 4981728102 Enrollment ID: I20100825000314 |
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