NPI 1801332721 · live from the CMS NPI Registry
Active Care Endodontics
Dentist, Endodontics in Brandon, FL. National Provider Identifier 1801332721, active.
NPI record
| NPI | 1801332721 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Endodontics 1223E0200X |
| Practice location | 1745 S Kings Ave, Brandon, FL 33511 |
| Practice phone | 813-662-9282 |
| Enumerated | January 17, 2017 |
| Last updated | January 17, 2017 |
| Authorized official | J. Mauricio Giraldo, Owner/President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Endodontics primary | 1223E0200X | DN0013539 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.