Organization
NORTH CENTRAL FLORIDA ENDODONTICS,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA THOMAS (INSURANCE COORDINATOR)
(352) 375-7776
Entity
Organization
Contact information
Practice address
48 SE 16TH AVE, OCALA, FL 34471-2521
(352) 629-5898
(352) 629-3995
Mailing address
1905 NW 13TH ST STE 2, GAINESVILLE, FL 32609-3414
(352) 375-7776
(352) 375-1039
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101505100
—
FL
05
—
101505400
—
FL
Enumeration date
09/23/2019
Last updated
03/10/2022
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