Perio Doctor Llc

LBN: Perio Doctor Llc
Perio Doctor Llc is an health care organization with primary practice located at 1312 E Broward Blvd , Fort Lauderdale FL 33301-2136. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Perio Doctor Llc can be contacted via phone (786) 449-4262, or through Mancuso, Vanessa Lynn via phone (786) 449-4262.

Contact Information

Primary practice address
1312 E Broward Blvd Fort Lauderdale FL 33301-2136
Phone: (786) 449-4262
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mancuso, Vanessa Lynn DDS,MSD
Phone: (786) 449-4262

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1881440105
LBN Legal business name Perio Doctor Llc
DBA Doing business as
Authorized official Mancuso, Vanessa Lynn DDS,MSD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2024
Last updated Apr 26th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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