Healthcare Provider Details

I. General information

NPI: 1972424380
Provider Name (Legal Business Name): FRANCISCO H BEZERRA DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30115 STATE ROAD 52 SUITE 104
SAN ANTONIO FL
34576-8243
US

IV. Provider business mailing address

30115 STATE ROAD 52 SUITE 104
SAN ANTONIO FL
34576-8243
US

V. Phone/Fax

Practice location:
  • Phone: 352-760-9122
  • Fax:
Mailing address:
  • Phone: 352-760-9122
  • Fax: 352-760-9133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: FRANCISCO H BEZERRA
Title or Position: PRESIDENT / PEDIATRIC DENTIST
Credential: DDS
Phone: 813-991-5300