MEDICARE: ADRIANA M. BOVE D.D.S. P.A.

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
1	261QD0000X	Dental Clinic/Center	13361	FL

General Provider Information

NPI Number	:	1124160676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADRIANA M. BOVE D.D.S. P.A.

Provider Business Mailing Address
First Line	:	175 SW 7TH ST STE 1212
Second Line	:	ADRIANA M. BOVE DDS PA
City	:	MIAMI
State	:	FL
Zip	:	33130-2952
Country	:	US
Telephone Number	:	305-373-4950
Fax Number	:	305-373-4956

Provider Business Practice Location Address
First Line	:	175 SW 7TH ST STE 1212
Second Line	:	ADRIANA M. BOVE DDS PA
City	:	MIAMI
State	:	FL
Zip	:	33130-2952
Country	:	US
Telephone Number	:	305-373-4950
Fax Number	:	305-373-4956

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ADRIANA M. BOVE
Credential	:
Telephone Number	:	305-373-4950

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	10/01/2009

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