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NPI Code Detail

MEDICARE: FACULTY ASSOCIATES, INC

MEDICARE: FACULTY ASSOCIATES, INC
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
11223G0001XGeneral Practice Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770537953
Entity Type Code : Organization
Provider Name (Legal Business Name) : FACULTY ASSOCIATES, INC
Provider Business Mailing Address
First Line : PO BOX 100425
Second Line : 1600 SW ARCHER ROAD, D4-6
City : GAINESVILLE
State : FL
Zip : 32610-0425
Country : US
Telephone Number : 352-273-5800
Fax Number : 352-392-3070
Provider Business Practice Location Address
First Line : 750 E 25TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33013-3817
Country : US
Telephone Number : 305-694-5400
Fax Number : 305-394-2394
Authorized Official
Title or Position : DEAN
Name : DR. ANA ISABEL GARCIA
Credential : DDS
Telephone Number : 352-273-5800
Provider Enumeration Date : 05/20/2006
Last Update Date : 02/10/2016

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Directions to “FACULTY ASSOCIATES, INC ” Practice Location

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