Organization
AC O&M SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO CARIBAS DDS (DIRECTOR)
(786) 302-6704
Entity
Organization
Contact information
Practice address
4675 VAN DYKE RD, LUTZ, FL 33558-4880
(812) 609-4496
Mailing address
3425 DIAMOND FALLS CIR, LAND O LAKES, FL 34638-6205
(786) 302-6704
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013204122
NPI
FL
Enumeration date
10/18/2018
Last updated
10/18/2018
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