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NPI Code Detail

MEDICARE: VDC-SPRING HILL PA

MEDICARE: VDC-SPRING HILL PA
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
11223G0001XGeneral Practice DentistryDN17567FL
21223G0001XGeneral Practice DentistryDN17081FL
31223G0001XGeneral Practice DentistryDN7162FL

General Provider Information

NPI Number : 1215208707
Entity Type Code : Organization
Provider Name (Legal Business Name) : VDC-SPRING HILL PA
Provider Business Mailing Address
First Line : 7357 SPRING HILL DR
Second Line :
City : SPRING HILL
State : FL
Zip : 34606-4300
Country : US
Telephone Number : 352-684-1274
Fax Number : 352-263-2756
Provider Business Practice Location Address
First Line : 7357 SPRING HILL DR
Second Line :
City : SPRING HILL
State : FL
Zip : 34606-4300
Country : US
Telephone Number : 352-684-1274
Fax Number : 352-263-2756
Authorized Official
Title or Position : MANGER
Name : MRS. JANEEN M GORMAN
Credential :
Telephone Number : 352-684-1274
Provider Enumeration Date : 01/16/2012
Last Update Date : 01/16/2012

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Directions to “VDC-SPRING HILL PA ” Practice Location

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