| Space Coast Endodontics, Pllc | |
|
5600 Porada Dr Ste 102 Viera FL 32940-8082 | |
| (321) 754-9988 | |
| Not Available |
| Full Name | Space Coast Endodontics, Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 5600 Porada Dr Ste 102, Viera, Florida |
| Authorized Official Name and Position | Michael David Hosking (OWNER) |
| Authorized Official Contact | 3217549988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Space Coast Endodontics, Pllc 5600 Porada Dr Ste 102 Viera FL 32940-8082 Ph: (321) 754-9988 | Space Coast Endodontics, Pllc 5600 Porada Dr Ste 102 Viera FL 32940-8082 Ph: (321) 754-9988 |
| NPI Number | 1801495379 |
|---|---|
| Provider Enumeration Date | 10/25/2020 |
| Last Update Date | 10/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801495379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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