| Periodoc, Llc | |
|
7320 Forest Oaks Blvd Spring Hill FL 34606-2401 | |
| (352) 596-1771 | |
| (352) 596-6067 |
| Full Name | Periodoc, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 7320 Forest Oaks Blvd, Spring Hill, Florida |
| Authorized Official Name and Position | Jeffrey Alan Hameroff (OWNER/PRESIDENT) |
| Authorized Official Contact | 3525961771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodoc, Llc 7320 Forest Oaks Blvd Spring Hill FL 34606-2401 Ph: (352) 596-1771 | Periodoc, Llc 7320 Forest Oaks Blvd Spring Hill FL 34606-2401 Ph: (352) 596-1771 |
| NPI Number | 1659794956 |
|---|---|
| Provider Enumeration Date | 01/23/2014 |
| Last Update Date | 01/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659794956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 10916 (Florida) | Primary |
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