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NPI Code Detail

MEDICARE: DR. EARVIN E GARIBALDI BERNUIL DMD

MEDICARE:  DR. EARVIN E GARIBALDI BERNUIL  DMD
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
1122300000XDentistDN25259FL

General Provider Information

NPI Number : 1689238222
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EARVIN E GARIBALDI BERNUIL DMD
Provider Business Mailing Address
First Line : 1701 N LOIS AVE UNIT 326
Second Line :
City : TAMPA
State : FL
Zip : 33607-2413
Country : US
Telephone Number : 813-317-0452
Fax Number :
Provider Business Practice Location Address
First Line : 625 N DUPONT BLVD
Second Line :
City : MILFORD
State : DE
Zip : 19963-1099
Country : US
Telephone Number : 302-315-2019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2019
Last Update Date : 03/07/2024

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Directions to “ DR. EARVIN E GARIBALDI BERNUIL DMD” Practice Location

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