| Rusha George Awad, Llc | |
|
450100 State Road 200 Callahan FL 32011-5064 | |
| (904) 879-6998 | |
| Not Available |
| Full Name | Rusha George Awad, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 450100 State Road 200, Callahan, Florida |
| Authorized Official Name and Position | Rusha Awad (PRESIDENT) |
| Authorized Official Contact | 9042074766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rusha George Awad, Llc 4570 Brandy Oak Ct Jacksonville FL 32257-8818 Ph: (904) 204-4766 | Rusha George Awad, Llc 450100 State Road 200 Callahan FL 32011-5064 Ph: (904) 879-6998 |
| NPI Number | 1922872019 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 11/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922872019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Sage Dental Of Callahan Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 450031 Sr 200, Callahan, FL 32011 Phone: 561-999-9650 |