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General NPI Number Information
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NPI Number | 1770405730
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Entity Type | Organization
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Legal Business Name | PALM BREEZE DENTAL PLLC
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 70 SAN FILIPPO DRIVE UNIT 104
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City | PALM BAY
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State | FL
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Zip | 32909
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Country | US
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Telephone | 321-447-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 7925 S TROPICAL TRL
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-6709
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Country | US
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Telephone | 321-536-0157
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | MOHAMMED MUJEEB
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Credential | DDS
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Telephone | 321-447-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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