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Organization
DARRYL A. FIELD, DDS, PA, LLC
Active
Organization
DARRYL A. FIELD, DDS, PA, LLC
Active
Other names
Amelia Island Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE E HOUGLAND (PRACTICE ADMINISTRATOR)
(904) 273-4373
Entity
Organization
Contact information
Practice address
1361 13TH AVE S STE 220, JACKSONVILLE BEACH, FL 32250-3236
(904) 273-4373
(904) 242-8747
Mailing address
1361 13TH AVE S STE 220, JACKSONVILLE BEACH, FL 32250-3236
(904) 273-4373
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN14294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801982145
DENTIST, PERIODONTITIS
FL
Enumeration date
12/08/2014
Last updated
01/07/2019
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