FLORIDA ORAL & FACIAL SURGICAL ASSOCIATES PA (NPI# 1912002585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912002585 |
| Entity Type | Organization |
| Organization Name | FLORIDA ORAL & FACIAL SURGICAL ASSOCIATES PA |
| Practice Address |
549 Health Blvd Daytona Beach FL 32114-1493 |
| Practice Telephone | 3862526438 |
| Mailing Telephone | 3862526438 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-02-08 |
| Authorized Official Name | JOHN AKERS (OFFICER) |
| Authorized Official Telephone | 3862526438 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
Dental Providers |
| Street Address |
549 HEALTH BLVD |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-1493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558340232 | Roger Rangarajan Thayer | Dentist | 549 Health Blvd, Daytona Beach, FL 32114-1493 | 2006-01-11 |
| 1376806489 | Bradley Mark Pinker | Dentist | 549 Health Blvd, Daytona Beach, FL 32114 | 2012-06-22 |
| 1477724706 | Brian Hamilton | Dentist | 549 Health Blvd, Daytona Beach, FL 32114-1493 | 2008-03-14 |
| 1043319072 | Health Boulevard Surgical Center | Clinic/Center | 549 Health Blvd, Daytona Beach, FL 32114-1493 | 2006-09-22 |
| 1922026426 | John Akers | Dentist | 549 Health Blvd, Daytona Beach, FL 32114-1493 | 2006-07-17 |
| 1740208255 | Richard Gaines | Dentist | 549 Health Blvd, Daytona Beach, FL 32114-1493 | 2006-07-17 |
| 1730112749 | Curtis Schalit | Dentist | 549 Health Blvd, Daytona Beach, FL 32114-1493 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861979908 | Maram Bawazir | Dentist | University of Florida Dentistry D8, Gainesville, FL 32610-0001 | 2018-07-21 |
| 1326533043 | Saja A Alramadhan | Dentist | 1395 Center Dr Fl 8, Gainesville, FL 32610-3006 | 2018-06-25 |
| 1851654677 | Wellington Center for Oral and Maxillofacial Surgery | Dentist | 1051 S State Road 7, Building G Suite 1, Wellington, FL 33414-6135 | 2012-06-18 |
| 1023142148 | William Jarmolych | Dentist | 1935 Drew St, Clearwater, FL 33765-3041 | 2007-03-14 |
| 1942339478 | Rosa H. Robison | Dentist | 2131 Westover Reserve Blvd, Windermere, FL 34786 | 2007-03-02 |
| 1932234986 | Gregory Taylor | Dentist | 4410 Sheridan St Ste B, Hollywood, FL 33021-3553 | 2007-02-22 |
| 1811022858 | Ira Stone | Dentist | 4420 Sheridan St Ste B, Hollywood, FL 33021-3552 | 2007-02-22 |
| 1801950902 | Paul Theodore Richman | Dentist | 1045 Ne 125th St, N Miami, FL 33161 | 2006-12-21 |
| 1104911015 | Giancarlo Bland | Dentist | 2499 Glades Rd., Suite 309, Boca Raton, FL 33431-7202 | 2006-10-04 |
| 1396830741 | Kenyon Mcgill Fort | Dentist | 7135 Dr. M. L. King Jr., Street North, St. Petersburg, FL 33702 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
Please comment or provide details below to improve the information on FLORIDA ORAL & FACIAL SURGICAL ASSOCIATES PA.
| 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.