Jordan Brown, | |
37944 Church Ave, Dade City, FL 33525-4207 | |
(352) 518-2000 | |
Not Available |
Full Name | Jordan Brown |
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Gender | Male |
Speciality | Dentist |
Location | 37944 Church Ave, Dade City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982221339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DRPM2161 (Florida) | Primary |
Entity Name | Tampa Family Health Centers Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356347413 PECOS PAC ID: 1254243769 Enrollment ID: O20110105001043 |
Mailing Address | Practice Location Address |
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Jordan Brown, 37944 Church Ave, Dade City, FL 33525-4207 Ph: () - | Jordan Brown, 37944 Church Ave, Dade City, FL 33525-4207 Ph: (352) 518-2000 |
Dr. Jose Ricardo Burgos Polo, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 37944 Pasco Ave, Dade City, FL 33525 Phone: 352-518-2000 | |
Dr. Darshan Singh, Dentist Medicare: Not Enrolled in Medicare Practice Location: 33273 Cortez Blvd, Manor Place, Dade City, FL 33523 Phone: 352-583-4444 Fax: 352-583-5161 | |
Carly Signorelli, DMD Dentist Medicare: Medicare Enrolled Practice Location: 37944 Church Ave, Dade City, FL 33525 Phone: 352-518-2000 | |
Mr. Clarence Mcnair, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 37944 Church Ave, Dade City, FL 33525 Phone: 352-518-2000 Fax: 352-567-0218 | |
Mrs. Edith Moore, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 37944 Church Ave, Dade City, FL 33525 Phone: 352-518-2000 Fax: 352-518-0218 | |
Dr. Mili Doshi Patel, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 37221 Meridian Ave, Dade City, FL 33525 Phone: 352-567-3049 Fax: 352-567-9097 | |
Ms. Margaret Mauricio, DDS Dentist Medicare: Medicare Enrolled Practice Location: 37944 Pasco Ave, Dade City, FL 33525 Phone: 352-518-2000 Fax: 352-567-0218 |