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8740 Mitchell Blvd Trinity FL 34655-4400 | |
| (727) 375-0469 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 8740 Mitchell Blvd, Trinity, Florida |
| Authorized Official Name and Position | Katherine Diaz (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7277091275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2711 Tampa Rd Palm Harbor FL 34684-3312 Ph: (727) 786-1631 | 8740 Mitchell Blvd Trinity FL 34655-4400 Ph: (727) 375-0469 |
| NPI Number | 1265886063 |
|---|---|
| Provider Enumeration Date | 04/18/2016 |
| Last Update Date | 04/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265886063 | NPI | - | NPPES |
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