# AGERICO M SAYOC DMD MSD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255470936
- **Authorized official:** AGERICO M SAYOC (PRESIDENT DENTIST)
- **Authorized official phone:** (904) 221-0054

## Contact information

- **Practice address:** 13167 ATLANTIC BLVD, JACKSONVILLE, FL 32225-3125
- **Practice address phone:** (904) 221-0054
- **Practice address fax:** (904) 221-0049
- **Mailing address:** 13167 ATLANTIC BLVD, JACKSONVILLE, FL 32225-3125
- **Mailing address phone:** (904) 221-0054
- **Mailing address fax:** (904) 221-0049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | DN10831 | FL | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 06/13/2013