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NPI Code Detail

MEDICARE: ANACAONA C DELIMA DDS

MEDICARE:   ANACAONA C DELIMA  DDS
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 DentistryDM-16152FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841413267
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANACAONA C DELIMA DDS
Provider Business Mailing Address
First Line : 975 ARTHUR GODFREY RD STE 306
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33140-3342
Country : US
Telephone Number : 305-532-1728
Fax Number : 305-532-1729
Provider Business Practice Location Address
First Line : 975 ARTHUR GODFREY RD STE 306
Second Line :
City : MIAMI BEACH
State : FL
Zip : 33140-3342
Country : US
Telephone Number : 305-532-1728
Fax Number : 305-532-1729
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 07/08/2007

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Directions to “ ANACAONA C DELIMA DDS” Practice Location

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