Organization
CAYO COSTA DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK JAY FOX III DMD (DENTIST)
(941) 575-1446
Entity
Organization
Contact information
Practice address
316 W HELEN AVE, PUNTA GORDA, FL 33950-5501
(941) 575-1446
(941) 637-1963
Mailing address
316 W HELEN AVE, PUNTA GORDA, FL 33950-5501
(941) 575-1446
(941) 637-1963
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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