Organization
WINTER HAVEN ORAL SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE LUIS LEON RAMIREZ DMD, MD (VICE PRESIDENT)
(863) 294-7648
Entity
Organization
Contact information
Practice address
400 AVENUE K SE, SUITE # 14A, WINTER HAVEN, FL 33880-4146
(863) 294-7648
(863) 294-9045
Mailing address
400 AVENUE K SE, SUITE # 14A, WINTER HAVEN, FL 33880-4146
(863) 294-7648
(863) 294-9045
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN18539
FL
Other
Enumeration date
07/31/2012
Last updated
08/21/2014
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