| Nld #4 - Starke Pllc | |
|
459 W Call St Starke FL 32091-3115 | |
| (904) 964-5152 | |
| Not Available |
| Full Name | Nld #4 - Starke Pllc |
|---|---|
| Speciality | Dentist |
| Location | 459 W Call St, Starke, Florida |
| Authorized Official Name and Position | Joseph K Lee (CEO) |
| Authorized Official Contact | 7862522617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nld #4 - Starke Pllc 2845 University Blvd W Jacksonville FL 32217-2116 Ph: (786) 252-2617 | Nld #4 - Starke Pllc 459 W Call St Starke FL 32091-3115 Ph: (904) 964-5152 |
| NPI Number | 1558184267 |
|---|---|
| Provider Enumeration Date | 11/02/2024 |
| Last Update Date | 11/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558184267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Bill Marchese, Pl Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 W Call St, Starke, FL 32091 Phone: 904-964-7501 Fax: 904-964-7503 | |
Bradford Family Dentistry, Pl Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 West Call Street, Starke, FL 32091 Phone: 904-964-7501 Fax: 904-964-7503 |