# FLORIDA PROSTHODONTICS PA

> 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:** 1659714095
- **Authorized official:** DR. SUNDEEP R RAWAL D.M.D. (PRESIDENT)
- **Authorized official phone:** (321) 452-3388

## Contact information

- **Practice address:** 2180 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4236
- **Practice address phone:** (321) 452-3388
- **Mailing address:** 2180 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4236
- **Mailing address phone:** (321) 452-3388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | DN17718 | FL | Yes |

## Other

- **Enumeration date:** 04/16/2013
- **Last updated:** 04/16/2013