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Organization
EZ COMP CARE
Active
Organization
EZ COMP CARE
Active
Other names
EZ Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON EPHRAIM LEVY JR. (VICE PRESIDENT CLIENT SERVICES)
(855) 939-2667
Entity
Organization
Contact information
Practice address
605 W LUMSDEN RD, BRANDON, FL 33511-5911
(855) 939-2667
(855) 939-2668
Mailing address
PO BOX 6787, BRANDON, FL 33508-6013
(855) 939-2667
(855) 939-2668
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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