Individual
DR. ALEC FLOYD REDFEARN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
931 NORTH OHIO AVENUE, LIVE OAK, FL 32064
(386) 362-1646
(386) 362-6167
Mailing address
PO BOX 758, LIVE OAK, FL 32064
(386) 362-1646
(386) 362-6167
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN9900
FL
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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