Organization
FACULTY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN M SWEITZER (SECRETARY/TREASURER)
(352) 273-5787
Entity
Organization
Contact information
Practice address
76011 WILLIAM BURGESS BOULEVARD, YULEE, FL 32097
(352) 273-5801
(352) 392-3070
Mailing address
76011 WILLIAM BURGESS BOULEVARD, YULEE, FL 32097
(352) 273-5801
(352) 392-3070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN16197
FL DENTAL LICENSE
FL
Enumeration date
11/15/2019
Last updated
11/15/2019
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