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NPI Code Detail

MEDICARE: DR. SARIKA B HEGGANNAVAR

MEDICARE: DR. SARIKA B HEGGANNAVAR
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
1122300000XDentistDN19785FL

General Provider Information

NPI Number : 1407102999
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARIKA B HEGGANNAVAR
Provider Business Mailing Address
First Line : 10412 PLAZA CENTRO
Second Line :
City : BOCA RATON
State : FL
Zip : 33498-6723
Country : US
Telephone Number : 561-237-5118
Fax Number :
Provider Business Practice Location Address
First Line : 800 E MERRITT ISLAND CSWY
Second Line :
City : MERRITT ISLAND
State : FL
Zip : 32952-3514
Country : US
Telephone Number : 321-453-8882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2012
Last Update Date : 08/02/2012

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Directions to “ DR. SARIKA B HEGGANNAVAR ” Practice Location

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