Organization
SEA BREEZE 503 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARDIK PATEL DDS (SOLO PROPRIETOR)
(321) 784-4321
Entity
Organization
Contact information
Practice address
503 N ORLANDO AVE STE 101, COCOA BEACH, FL 32931-3171
(321) 784-4321
(321) 784-4322
Mailing address
503 N ORLANDO AVE STE 101, COCOA BEACH, FL 32931-3171
(321) 784-4321
(321) 784-4322
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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