Organization
PERIODOC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ALAN HAMEROFF DDS (OWNER/PRESIDENT)
(352) 596-1771
Entity
Organization
Contact information
Practice address
7320 FOREST OAKS BLVD, SPRING HILL, FL 34606-2401
(352) 596-1771
(352) 596-6067
Mailing address
7320 FOREST OAKS BLVD, SPRING HILL, FL 34606-2401
(352) 596-1771
(352) 596-6067
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10916
FL
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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