Organization
EKOS KISSIMMEE PLLC
Active
Other names
Nulife Dental and Med Center
Organization subpart
No
Provider details
NPI number
Authorized official
GIOVANNA DEJESUS (OPERATIONS)
(813) 340-0116
Entity
Organization
Contact information
Practice address
106 N DEAN RD STE 140, ORLANDO, FL 32825-3767
(407) 614-6161
Mailing address
8794 BOYNTON BEACH BLVD STE 218, BOYNTON BEACH, FL 33472-4469
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
02/09/2024
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