# AD34 FLORIDA P.A

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1568900785
- **Authorized official:** DR. ANDREW DORMESHIAN (OWNER)
- **Authorized official phone:** (917) 847-6976

## Contact information

- **Practice address:** 2896 S 8TH ST, FERNANDINA BEACH, FL 32034-4462
- **Practice address phone:** (904) 261-6826
- **Mailing address:** 401 COMMERCE DR, SUITE 108, FORT WASHINGTON, PA 19034-2714
- **Mailing address phone:** (215) 550-4590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2017
- **Last updated:** 02/08/2017