Picasso Aesthetic And Cosmetic Dental Spa Pa

LBN: Picasso Aesthetic And Cosmetic Dental Spa Pa
Picasso Aesthetic And Cosmetic Dental Spa Pa is an health care organization with primary practice located at 26649 Dublin Woods Circle Jeffrey Rubin, Bonita Springs FL 34135. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty. Picasso Aesthetic And Cosmetic Dental Spa Pa can be contacted via phone (239) 370-3343, or through Rubin, Jeffrey via phone (239) 370-3343.

Contact Information

Primary practice address
26649 Dublin Woods Circle Jeffrey Rubin Bonita Springs FL 34135
Phone: (239) 370-3343
Fax: (239) 320-3288
Website:
Map and Directions
Authorized official contact:
Name: Rubin, Jeffrey
Phone: (239) 370-3343

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN12852 Florida
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1205182276
LBN Legal business name Picasso Aesthetic And Cosmetic Dental Spa Pa
DBA Doing business as
Authorized official Rubin, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2012
Last updated Aug 3rd, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205182276 NPPES
Florida MEDICAID 070759700

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