Precident Florida Pllc | |
10601 Seminole Blvd Largo FL 33778-3329 | |
(727) 397-8503 | |
(727) 398-2679 |
Full Name | Precident Florida Pllc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 10601 Seminole Blvd, Largo, Florida |
Authorized Official Name and Position | Scotty L Bolding (OWNER) |
Authorized Official Contact | 4799574611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Precident Florida Pllc 10601 Seminole Blvd Largo FL 33778-3329 Ph: (727) 397-8503 | Precident Florida Pllc 10601 Seminole Blvd Largo FL 33778-3329 Ph: (727) 397-8503 |
NPI Number | 1154045599 |
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Provider Enumeration Date | 09/29/2022 |
Last Update Date | 10/11/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154045599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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