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Organization

FAMILY DENTAL GROUP OF FLORIDA, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE CARIDE (CREDENTIALING)
(470) 207-3264
Entity
Organization

Contact information

Practice address
2939 PALM HARBOR BLVD, PALM HARBOR, FL 34683-1928
(727) 761-5377
Mailing address
2300 LAKEVIEW PKWY STE 250, ALPHARETTA, GA 30009-3954
(470) 207-3264

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/19/2025
Last updated
12/19/2025
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