Organization
CARL W LENTZ III, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL W LENTZ III M.D. (PRESIDENT)
(386) 252-8051
Entity
Organization
Contact information
Practice address
1265 W GRANADA BLVD, SUITE 3, ORMOND BEACH, FL 32174
(386) 252-8051
(386) 252-1173
Mailing address
1265 W GRANADA BLVD, SUITE 3, ORMOND BEACH, FL 32174
(386) 252-8051
(386) 252-1173
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME0023708
FL
Other
Enumeration date
11/29/2007
Last updated
06/15/2017
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