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Organization

AZALEA MARION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. REMAL PATEL DMD (DENTAL DIRECTOR)
(813) 340-3510
Entity
Organization

Contact information

Practice address
8585 SW HIGHWAY 200 UNIT 3, OCALA, FL 34481-9643
(352) 237-7896
(352) 355-3069
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5735
(352) 237-7896
(352) 355-3069

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/05/2019
Last updated
12/05/2019
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