1689118523 NPI number — FLORIDIAN DENTAL AT PALMETTO BAY, LLC

Table of content: DR. CHARLES L SCHUSTER D.C. (NPI 1063428977)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689118523 NPI number — FLORIDIAN DENTAL AT PALMETTO BAY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FLORIDIAN DENTAL AT PALMETTO BAY, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689118523
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/12/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15801 S DIXIE HWY
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
PALMETTO BAY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33157-1837
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-255-4140
Provider Business Mailing Address Fax Number:
305-252-8323

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15801 S DIXIE HWY
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
PALMETTO BAY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33157-1837
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-255-4140
Provider Business Practice Location Address Fax Number:
305-252-8323
Provider Enumeration Date:
12/12/2016

Additional Information

Authorized Official

Authorized Official Last Name:
HEREDIA
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
305-255-4140

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  DN19253 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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