MEDICARE: ANNETTE LORENZO DDS

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DN21404	FL

General Provider Information

NPI Number	:	1427387240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNETTE LORENZO DDS

Provider Business Mailing Address
First Line	:	9309 SAN JOSE BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-5503
Country	:	US
Telephone Number	:	904-733-3391
Fax Number	:	904-733-7264

Provider Business Practice Location Address
First Line	:	9309 SAN JOSE BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-5503
Country	:	US
Telephone Number	:	904-733-3391
Fax Number	:	904-733-7264

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

Provider Enumeration Date	:	12/08/2009
Last Update Date	:	04/22/2026

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Directions to “ ANNETTE LORENZO DDS” Practice Location

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