| Pf Dent, Pa | |
|
205 Zeagler Dr Ste 502 Palatka FL 32177-3887 | |
| (386) 328-1500 | |
| Not Available |
| Full Name | Pf Dent, Pa |
|---|---|
| Speciality | Dentist |
| Location | 205 Zeagler Dr Ste 502, Palatka, Florida |
| Authorized Official Name and Position | Patrick Heath Pruitt (MANAGER) |
| Authorized Official Contact | 3528751729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pf Dent, Pa 2555 Country Club Blvd Orange Park FL 32073-5711 Ph: () - | Pf Dent, Pa 205 Zeagler Dr Ste 502 Palatka FL 32177-3887 Ph: (386) 328-1500 |
| NPI Number | 1790464733 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790464733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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