UNIFERSITY OF FLORIDA COLLEGE OF DENTISTRY (NPI# 1356794804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356794804 |
| Entity Type | Organization |
| Organization Name | UNIFERSITY OF FLORIDA COLLEGE OF DENTISTRY |
| Practice Address |
9200 113th St Seminole FL 33772-2800 |
| Mailing Address |
2098 Seminole Blvd Apt 7204 Largo FL 33778-1731 |
| Practice Telephone | 7273946098 |
| Mailing Telephone | 9412250421 |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |
| Authorized Official Name | DR. THOMAS PORTER (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 3522737800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN22016 | FL | Ambulatory Health Care Facilities |
| Street Address |
9200 113TH ST |
| City | SEMINOLE |
| State | FL |
| Zip Code | 33772-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255379004 | Faculty Associates, Inc | Dentist | 9200 113th St, Seminole, FL 33772-2800 | 2006-06-03 |
| 1699373928 | Boyd Wilson | Dentist | 9200 113th St, Seminole, FL 33772-2800 | 2020-10-09 |
| 1730707944 | Anna Eenas Shahrour | Dentist | 9200 113th St, Seminole, FL 33772-2800 | 2020-07-14 |
| 1083232110 | Mckenzi Marie Taylor | Dentist | 9200 113th St, Seminole, FL 33772-2800 | 2020-07-06 |
| 1235757378 | Sarah Houle | Dentist | 9200 113th St, Seminole, FL 33772-2800 | 2020-07-06 |
| 1336766682 | Hanan Izzat Beck | Dentist | 9200 113th St, Seminole, FL 33772-2800 | 2020-07-02 |
| 1740807072 | Sachell Calderon | Dentist | 9200 113th St, Seminole, FL 33772-2800 | 2020-07-02 |
| 1982221339 | Jordan Brown | Dentist | 9200 113th St, Seminole, FL 33772-2800 | 2020-07-01 |
| 1134746738 | Cody Parker Bertoch | Dentist | 9200 113th St, Seminole, FL 33772-2800 | 2020-06-30 |
| 1275150799 | Juan Jose Fajardo | Dentist | 9200 113th St, Seminole, FL 33772-2800 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245765205 | Capstone Eye Care Group of Florida LLC | Eyewear Supplier (Equipment, not the service) | 7855 113th St Bldg P-2, Suite A, Seminole, FL 33772 | 2017-04-27 |
| 1922453067 | Donna Malkovich | Nurse Practitioner | 11925 Mandarin Ct, Seminole, FL 33772 | 2016-04-26 |
| 1518259209 | Dorca N. May | Nurse's Aide | 11428 - 63 Ave N, Seminole, FL 33772 | 2011-05-12 |
| 1467753681 | Anthony J. Auletta, Jr. D.m.d., Pa | Dentist | 8277 113th Street N, Seminole, FL 33772 | 2010-11-04 |
| 1346559481 | Tiffany Jane Marie Bishop | Physical Therapist | 11224 Park Blvd., N, Cora Rehabilitation, Seminole, FL 33772 | 2010-10-06 |
| 1235442997 | Cynthia Renee Bouchard | Student in an Organized Health Care Education/Training Program | 9200 113th St. N., Seminole, FL 33772 | 2010-07-22 |
| 1851603591 | William Daily | Dentist | 9200 113th St N, Seminole, FL 33772 | 2010-07-10 |
| 1427370295 | Teresa Ann Skinner | Counselor | 7130 Seminole Blvd., Seminole Professional Centre, Seminole, FL 33772 | 2010-02-22 |
| 1922257120 | Jennifer Henkel Johnson | Dentist | 9951 Seminole Blvd, Seminole, FL 33772 | 2008-09-11 |
| 1528233970 | Joann Carol Horianopoulos | Physical Therapy Assistant | 7388 121st Way North, Seminole, FL 33772 | 2008-04-28 |
| Find all providers in zip 33772 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710028048 | Uscg | Clinic/Center | 10569 Lake Breeze Dr, Seminole, FL 33772-4333 | 2007-02-09 |
| 1316571383 | Nicole Martino Dmd, P.a. | Clinic/Center | 7603 Seminole Blvd Ste B, Seminole, FL 33772-4888 | 2020-02-27 |
| 1114333218 | Nusmile Dental- Seminole | Clinic/Center | 13611 Park Blvd, Ste. G, Seminole, FL 33776-3437 | 2014-07-09 |
| 1033268206 | Neil M Brodsky Dds Pa | Clinic/Center | 9303 Seminole Blvd, #d, Seminole, FL 33772-3100 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376525 | Hoffmann Holdings Inc | Clinic/Center | 515 Semoran Blvd Ste 1000, Casselberry, FL 32707-5341 | 2020-11-06 |
| 1811598238 | Dental Plus Management, LLC | Clinic/Center | 16 Ne 2nd Ave, Deerfield Beach, FL 33441-3504 | 2020-11-03 |
| 1750981452 | Smillie Dental Pllc | Clinic/Center | 5537 S Williamson Blvd Ste 675, Port Orange, FL 32128-8314 | 2020-10-30 |
| 1609476027 | R & R Dentistry Pa | Clinic/Center | 6290 Linton Blvd Unit 202, Delray Beach, FL 33484-6409 | 2020-10-26 |
| 1295334126 | Friedman Dental Group Miami, Pllc | Clinic/Center | 1717 N Bayshore Dr Ste 219, Miami, FL 33132-1196 | 2020-10-21 |
| 1376142547 | Trm Global Enterprise,llc. | Clinic/Center | 145 Crawl Key Ct, Deland, FL 32720-3951 | 2020-10-20 |
| 1568060762 | Bawany LLC | Clinic/Center | 15130 Springview St, Tampa, FL 33624-2332 | 2020-10-12 |
| 1992312730 | Rocent Dental Care, Inc. | Clinic/Center | 1 Sw 129th Ave Ste 406, Pembroke Pines, FL 33027-1718 | 2020-09-25 |
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1952916306 | Simmons Services LLC | Clinic/Center | 2500 Sw 107th Ave Ste 45, Miami, FL 33165-2492 | 2020-09-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.