# FLORIDA EMERGENCY DENTAL CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Port Charlotte Emergency Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699927525
- **Authorized official:** DR. MICHAEL JAMES THOMASINO DMD (PARTNER)
- **Authorized official phone:** (941) 743-6824

## Contact information

- **Practice address:** 1825 TAMIAMI TRL, UNIT \#A-4, PORT CHARLOTTE, FL 33948-1077
- **Practice address phone:** (941) 743-6824
- **Practice address fax:** (941) 743-6820
- **Mailing address:** 1825 TAMIAMI TRL, UNIT \#A-4, PORT CHARLOTTE, FL 33948-1077
- **Mailing address phone:** (941) 743-6824
- **Mailing address fax:** (941) 743-6820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DN16459 | FL | Yes |

## Other

- **Enumeration date:** 10/22/2008
- **Last updated:** 10/22/2008