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1174558647
DEREK R FLEITZ
PANAMA CITY, FL
NPI
1174558647
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN 15148)
Enumeration Date
2006-07-12
Last Update Date
2015-06-12
Business Address
-- DEREK R FLEITZ D D S P A
2407 W 11TH ST
PANAMA CITY, FL 32401-1634
Phone number: 850-763-5770
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Mailing Address
-- DEREK R FLEITZ D D S P A
PO BOX 611373
ROSEMARY BEACH, FL 32461-1003
Phone number: 850-231-3921
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