Florida Institute Of Oms
LBN: Takashi Koyama Dmd Phd Pa
Florida Institute Of Oms is an health care organization with primary practice located at 2402 Frist Blvd Ste 100 , Fort Pierce FL 34950-4838. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is the primary health care specialty.
Takashi Koyama Dmd Phd Pa can be contacted via phone (772) 461-9700, or through Gonzalez, Tanya via phone (772) 461-9700.
Contact Information
Primary practice address
2402 Frist Blvd Ste 100
Fort Pierce FL 34950-4838
Phone: (772) 461-9700
Fax: (772) 461-9300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ||
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X |
Profile Details
| NPI number | 1558429753 |
|---|---|
| LBN Legal business name | Takashi Koyama Dmd Phd Pa |
| DBA Doing business as | Florida Institute Of Oms |
| Authorized official | Gonzalez, Tanya |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jan 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558429753 | NPPES |
| Florida | Other | DN 16376 | MEDICAL LICENSE |
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