Healthcare Provider Details

I. General information

NPI: 1942118385
Provider Name (Legal Business Name): NAFFI DENTAL ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16640 US 301 S STE 102
WIMAUMA FL
33598-4176
US

IV. Provider business mailing address

16640 US 301 S STE 102
WIMAUMA FL
33598-4176
US

V. Phone/Fax

Practice location:
  • Phone: 813-303-9339
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: AMIR NAFFI
Title or Position: PRESIDENT
Credential: DMD
Phone: 786-269-9857