Organization
PETRONE FAMILY DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY R PETRONE DMD (OWNER/DENTIST)
(850) 212-1286
Entity
Organization
Contact information
Practice address
1550 FOURAKER RD, JACKSONVILLE, FL 32221-7606
(904) 783-0917
Mailing address
1550 FOURAKER RD, JACKSONVILLE, FL 32221-7606
(904) 783-0917
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN19821
FL
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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