Organization
FL PEDIATRIC PROFESSIONALS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN FARRUGIA DMD (OWNER)
(850) 378-1004
Entity
Organization
Contact information
Practice address
10 RIVERWOOD DR STE A, CRESTVIEW, FL 32536-5017
(850) 689-6766
Mailing address
5710 N DAVIS HWY # 8, PENSACOLA, FL 32503-2088
(850) 378-1004
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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