Organization
DOCS HEALTH FLORIDA INC
Active
Other names
DOCS Mac Dill AFB
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ANNE CLARK (DIRECTOR OF CREDENTIALING)
(813) 451-4503
Entity
Organization
Contact information
Practice address
3108 N BOUNDARY BLVD, TAMPA, FL 33621-5050
(813) 730-3239
Mailing address
1221 VINEWOOD DR, SEFFNER, FL 33584-4829
(813) 451-4503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33608
ZIP CODE
—
Enumeration date
07/20/2021
Last updated
07/20/2021
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