COAST FLORIDA P.A.

LAKELAND, FL
NPI1124694526
Doing Business AsCOAST DENTAL-SOUTH LAKELAND
Entity TypeOrganization
Authorized ContactMELODY RIVERA
Credentialing Manager
813-350-7166
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2021-05-27
Last Update Date2021-05-27
Business Address
COAST FLORIDA P.A.
4744 S FLORIDA AVE
LAKELAND, FL 33813-2181
Phone number: 863-644-1226
Mailing Address
COAST FLORIDA P.A.
5706 BENJAMIN CENTER DR STE 103
TAMPA, FL 33634-5262
Phone number: 813-288-1999