Provider Demographics
NPI:1306292032
Name:ALMEIDA FAMILY DENTISTRY
Entity type:Organization
Organization Name:ALMEIDA FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARISEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMEIDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-266-0341
Mailing Address - Street 1:8500 W FLAGLER ST STE 102A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2043
Mailing Address - Country:US
Mailing Address - Phone:305-266-0341
Mailing Address - Fax:305-223-1797
Practice Address - Street 1:8500 W FLAGLER ST STE 102A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2043
Practice Address - Country:US
Practice Address - Phone:305-266-0341
Practice Address - Fax:305-223-1797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN162651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty