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Individual

DR. JOHN F CERVENKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
8801 COMMODITY CIR, ORLANDO, FL 32819-9053
(407) 248-0100
(407) 248-8364
Mailing address
8801 COMMODITY CIR, ORLANDO, FL 32819-9053
(407) 248-0100
(407) 248-8364

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9168
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
120745
UNITED CONCORDIA
01
67187
BCBS
FL
Enumeration date
09/06/2006
Last updated
07/08/2007
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