Organization
FLORIDA AVENUE DENTISTRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE N PINKSTON D.D.S. (PRESIDENT)
(863) 686-2268
Entity
Organization
Contact information
Practice address
1212 N FLORIDA AVENUE, LAKELAND, FL 33805
(863) 686-2268
(863) 603-0688
Mailing address
PO BOX 91966, LAKELAND, FL 33804-1966
(863) 686-2268
(863) 603-0688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12541
FL
Other
Enumeration date
01/30/2007
Last updated
09/12/2017
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