Organization
DARRYL A. FIELD, DDS, PA, LLC
Active
Other names
Amelia Island Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE E HOUGLAND (PRACTICE ADMINISTRATOR)
(904) 273-4373
Entity
Organization
Contact information
Practice address
1361 13TH AVE S STE 220, JACKSONVILLE BEACH, FL 32250-3236
(904) 273-4373
(904) 242-8747
Mailing address
1361 13TH AVE S STE 220, JACKSONVILLE BEACH, FL 32250-3236
(904) 273-4373
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN14294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801982145
DENTIST, PERIODONTITIS
FL
Enumeration date
12/08/2014
Last updated
01/07/2019
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