MEDICARE: ANNE MURUGASU-REID 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	1223G0001X	General Practice Dentistry	DN16580	FL

General Provider Information

NPI Number	:	1679675789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE MURUGASU-REID DDS

Provider Business Mailing Address
First Line	:	1327 N MILLS AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-2542
Country	:	US
Telephone Number	:	407-228-1353
Fax Number	:	407-228-1394

Provider Business Practice Location Address
First Line	:	1327 N MILLS AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32803-2542
Country	:	US
Telephone Number	:	407-228-1353
Fax Number	:	407-228-1394

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

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	12/09/2007

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