Michelle De Fazio, DDS | |
1 Alhambra Plz Ste 25, Coral Gables, FL 33134-5216 | |
(786) 507-4440 | |
Not Available |
Full Name | Michelle De Fazio |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 1 Alhambra Plz Ste 25, Coral Gables, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962894683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D13646 (Minnesota) | Secondary |
122300000X | Dentist | DN21777 (Florida) | Primary |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
---|---|
Michelle De Fazio, DDS 2000 Salzedo St Apt 418, Coral Gables, FL 33134-4337 Ph: (954) 770-1666 | Michelle De Fazio, DDS 1 Alhambra Plz Ste 25, Coral Gables, FL 33134-5216 Ph: (786) 507-4440 |
Dr. Michael M Karp, Dentist Medicare: Not Enrolled in Medicare Practice Location: 550 Biltmore Way Ste 760, Coral Gables, FL 33134 Phone: 305-567-2772 Fax: 786-552-5616 | |
Dr. Eduardo R Northland, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2825 S.w. 22 Street, Coral Gables, FL 33145 Phone: 305-448-1172 Fax: 305-446-2724 | |
Dr. Raymond Daniel Kimsey, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3228 Ponce De Leon Blvd, Coral Gables, FL 33134 Phone: 305-444-7345 | |
Alejandro Caribas Mendible, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2030 S Douglas Rd, Suite 506., Coral Gables, FL 33134 Phone: 904-401-2566 | |
Dr. Maira Morales, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5232 W Flagler St, Coral Gables, FL 33134 Phone: 305-442-0331 | |
Dr. Cecil Abraham, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6705 Red Road, Suite 614, Coral Gables, FL 33143 Phone: 305-668-1811 Fax: 305-668-1807 | |
Dr. Isabel Cristina Noy, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5450 Sw 8th St, Suite #201, Coral Gables, FL 33134 Phone: 305-444-9951 Fax: 305-444-4213 |