Organization
UNIFERSITY OF FLORIDA COLLEGE OF DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS PORTER (PROGRAM DIRECTOR)
(352) 273-7800
Entity
Organization
Contact information
Practice address
9200 113TH ST, SEMINOLE, FL 33772-2800
(727) 394-6098
Mailing address
2098 SEMINOLE BLVD APT 7204, LARGO, FL 33778-1731
(941) 225-0421
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN22016
FL
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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