# FLORIDA OMFS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Florida Oral and Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659784213
- **Authorized official:** DR. MICHAEL BARBICK DMD, MD (SURGEON/OWNER)
- **Authorized official phone:** (813) 264-2286

## Contact information

- **Practice address:** 16546 N DALE MABRY HWY, TAMPA, FL 33618-1325
- **Practice address phone:** (813) 264-2286
- **Practice address fax:** (813) 264-2091
- **Mailing address:** 15170 N FLORIDA AVE, TAMPA, FL 33613-1229
- **Mailing address phone:** (813) 755-9100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN18016 | FL | Yes |

## Other

- **Enumeration date:** 06/11/2014
- **Last updated:** 05/20/2021
