Organization
SOUTH FLORIDA JAW AND FACIAL SURGERY-DENTAL IMPLANTS CENTER PA
Active
Organization
SOUTH FLORIDA JAW AND FACIAL SURGERY-DENTAL IMPLANTS CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILLIE ACOSTA FERNANDEZ (PRACTICE ADMINISTRATOR)
(305) 661-5297
Entity
Organization
Contact information
Practice address
7600 S RED RD STE 101, SOUTH MIAMI, FL 33143-5429
(305) 661-5297
(305) 667-3503
Mailing address
7600 S RED RD STE 101, SOUTH MIAMI, FL 33143-5429
(305) 661-5297
(305) 667-3503
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
09/23/2019
Last updated
09/23/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up