MEDICARE: DR. DAVID FERLITA D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN13425	FL

General Provider Information

NPI Number	:	1154333235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID FERLITA D.M.D.

Provider Business Mailing Address
First Line	:	1911 N FLAGLER DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-6111
Country	:	US
Telephone Number	:	561-655-1104
Fax Number	:	561-655-3213

Provider Business Practice Location Address
First Line	:	1911 N FLAGLER DR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-6111
Country	:	US
Telephone Number	:	561-655-1104
Fax Number	:	561-655-3213

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	07/08/2007

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