Individual
DR. DAVID CHARLES JUROCKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., P.A.
Contact information
Practice address
13301 N DALE MABRY HWY STE B, TAMPA, FL 33618-2400
(813) 961-4045
(813) 962-6972
Mailing address
14243 PELHAM LN, ODESSA, FL 33556-3828
(813) 495-5877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 11623
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69458
BLUECROSS BLUESHIELD
FL
01
—
882322
UNITED CONCORDIA
FL
Enumeration date
05/16/2007
Last updated
07/08/2007
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