Individual
DEREK R FLEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D D S P A
Contact information
Practice address
2407 W 11TH ST, PANAMA CITY, FL 32401-1634
(850) 763-5770
Mailing address
PO BOX 611373, ROSEMARY BEACH, FL 32461-1003
(850) 231-3921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 15148
FL
Other
Enumeration date
07/12/2006
Last updated
06/12/2015
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