Goldtree Endo | |
1400 Se Goldtree Dr Ste 105 Port St Lucie FL 34952-7582 | |
(772) 446-0156 | |
(772) 333-2992 |
Full Name | Goldtree Endo |
---|---|
Speciality | Dentist - Endodontics |
Location | 1400 Se Goldtree Dr Ste 105, Port St Lucie, Florida |
Authorized Official Name and Position | Juan Savelli (PRESIDENT) |
Authorized Official Contact | 7722234646 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Goldtree Endo 1400 Se Goldtree Dr Ste 105 Port St Lucie FL 34952-7582 Ph: (772) 446-0156 | Goldtree Endo 1400 Se Goldtree Dr Ste 105 Port St Lucie FL 34952-7582 Ph: (772) 446-0156 |
NPI Number | 1700518446 |
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Provider Enumeration Date | 06/30/2022 |
Last Update Date | 06/30/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700518446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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