MEDICARE: DR. FELIPE ARRUDA FALCAO D.D.S, M.S.

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	122300000X	Dentist	F-24987	TX
2	122300000X	Dentist	DN19579	FL

General Provider Information

NPI Number	:	1205099207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FELIPE ARRUDA FALCAO D.D.S, M.S.

Provider Business Mailing Address
First Line	:	3073 JACOB FIXEL CT
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-5889
Country	:	US
Telephone Number	:	904-778-3330
Fax Number	:	904-778-3203

Provider Business Practice Location Address
First Line	:	9590 APPLECROSS RD
Second Line	:	STE 106
City	:	JACKSONVILLE
State	:	FL
Zip	:	32222-5857
Country	:	US
Telephone Number	:	904-778-3330
Fax Number	:	904-778-3203

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2008
Last Update Date	:	05/21/2015

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