MEDICARE: ALMEIDA FAMILY DENTISTRY

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	1223G0001X	General Practice Dentistry	DN16265	FL

General Provider Information

NPI Number	:	1306292032
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALMEIDA FAMILY DENTISTRY

Provider Business Mailing Address
First Line	:	8500 W FLAGLER ST STE 102A
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2043
Country	:	US
Telephone Number	:	305-266-0341
Fax Number	:	305-223-1797

Provider Business Practice Location Address
First Line	:	8500 W FLAGLER ST STE 102A
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-2043
Country	:	US
Telephone Number	:	305-266-0341
Fax Number	:	305-223-1797

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. MARISEL ALMEIDA
Credential	:
Telephone Number	:	305-266-0341

Provider Enumeration Date	:	05/12/2016
Last Update Date	:	05/12/2016

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