Organization
LAUREN HUMPHREYS, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN ANTONIA HUMPHREYS DDS (PRESIDENT)
(850) 814-2587
Entity
Organization
Contact information
Practice address
14595 PHILIPS HWY # 1, JACKSONVILLE, FL 32256-3709
(904) 290-8766
Mailing address
418 SKATE RD, ATLANTIC BEACH, FL 32233-3822
(850) 814-2587
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
02/27/2023
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