Healthcare Provider Details

I. General information

NPI: 1568613081
Provider Name (Legal Business Name): AMIT SHRINATH KAMAT D.M.D., M.S., FACP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2008
Last Update Date: 08/08/2020
Certification Date: 08/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1884 W COUNTY ROAD 419 STE 1010
OVIEDO FL
32765-4428
US

IV. Provider business mailing address

906 RED HAVEN LN
OVIEDO FL
32765-2002
US

V. Phone/Fax

Practice location:
  • Phone: 407-542-4580
  • Fax:
Mailing address:
  • Phone: 813-528-6955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberDN18557
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: