Illustradent Key Biscayne

LBN: South Miami Dental Service Pa
Illustradent Key Biscayne is an health care organization with primary practice located at 240 Crandon Blvd Suite 104, Key Biscayne FL 33149. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. South Miami Dental Service Pa can be contacted via phone (305) 361-0351, or through Perez, Mayra V via phone (305) 361-5493.

Contact Information

Primary practice address
240 Crandon Blvd Suite 104 Key Biscayne FL 33149
Phone: (305) 361-0351
Fax: (305) 361-2180
Website:
Map and Directions
Authorized official contact:
Name: Perez, Mayra V
Phone: (305) 361-5493

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X DN18909 Florida

Profile Details

NPI number 1104274471
LBN Legal business name South Miami Dental Service Pa
DBA Doing business as Illustradent Key Biscayne
Authorized official Perez, Mayra V
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2016
Last updated May 27th, 2016 - about 9 years ago

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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