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NPI Code Detail

MEDICARE: DR. CARMEN MACO D.M.D

MEDICARE: DR. CARMEN MACO D.M.D
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 DentistryDN 19466FL

General Provider Information

NPI Number : 1851668065
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARMEN MACO D.M.D
Provider Business Mailing Address
First Line : 231 COMMERCIAL BLVD
Second Line :
City : LAUDERDALE BY THE SEA
State : FL
Zip : 33308-4441
Country : US
Telephone Number : 954-771-1117
Fax Number : 954-771-8454
Provider Business Practice Location Address
First Line : 231 COMMERCIAL BLVD
Second Line :
City : LAUDERDALE BY THE SEA
State : FL
Zip : 33308-4441
Country : US
Telephone Number : 954-771-1117
Fax Number : 954-771-8454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2011
Last Update Date : 11/16/2019

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Directions to “ DR. CARMEN MACO D.M.D” Practice Location

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