| South Florida Dental Surgical Specialists Pa | |
|
9600 W Sample Rd Suite 504 Coral Springs FL 33065-4045 | |
| (954) 340-6550 | |
| (954) 340-8488 |
| Full Name | South Florida Dental Surgical Specialists Pa |
|---|---|
| Speciality | Dentist |
| Location | 9600 W Sample Rd, Coral Springs, Florida |
| Authorized Official Name and Position | Jeffrey F. Elliot (PRESIDENT) |
| Authorized Official Contact | 9543406550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Florida Dental Surgical Specialists Pa 9600 W Sample Rd Suite 504 Coral Springs FL 33065-4045 Ph: (954) 340-6550 | South Florida Dental Surgical Specialists Pa 9600 W Sample Rd Suite 504 Coral Springs FL 33065-4045 Ph: (954) 340-6550 |
| NPI Number | 1376890673 |
|---|---|
| Provider Enumeration Date | 08/06/2012 |
| Last Update Date | 02/11/2013 |
| Medicare PECOS PAC ID | 4284888553 |
|---|---|
| Medicare Enrollment ID | O20130214000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376890673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN 11443 (Florida) | Primary |
| Provider Name | Jeffrey F Elliot |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1821118795 PECOS PAC ID: 5799940847 Enrollment ID: I20120717000615 |
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