Florida Family Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN18716 Issued in FL

Legal business name

FLORIDA FAMILY DENTAL LLC

Practice address

10624 S Federal Hwy
Port St Lucie, FL 34952-6401

Phone

(772) 380-0920

Fax

(772) 380-0921

NPI assigned

Oct 31, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Manuel Ignacio Cruces, DDS

Title

Dentist, Director

Phone

(772) 380-0920

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos Rosendo Arguello, M.D.

  • Adult Medicine Physician
  • Port Saint Lucie, FL
  • NPI 1750505228
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1154759041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S FEDERAL HWY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526401",
            "telephone_number": "772-380-0920",
            "fax_number": "772-380-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10624 S FEDERAL HWY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526401",
            "telephone_number": "772-380-0920",
            "fax_number": "772-380-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-31",
        "last_updated": "2013-10-31",
        "status": "A",
        "authorized_official_last_name": "CRUCES",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "IGNACIO",
        "authorized_official_title_or_position": "DENTIST, DIRECTOR",
        "authorized_official_telephone_number": "772-380-0920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN18716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Community Health Centers, Inc. (Florida Community Health Centers, Inc. Mobile Unit 1)
• Florida Community Health Centers, Inc.
• Florida Department of Health (Florida Health in St. Lucie County)
• Florida Department of Veterans Affairs (Ardie R. Copas State Veterans Nursing Home)
• Florida Em-I Medical Services PA
• Florida Health Plus System Inc
• Florida Lab Source
• Florida Medical Center
• Florida Orthopedics and Neurosurgery LLC
• Florida Pain & Rehabilitation Institute Inc (National Pain Institute)

• Dental Clinic/Center in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.