Fabiola Douglas DDS, LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

FABIOLA DOUGLAS DDS, LLC

Doing business as

Apex Endodontic Studio

Practice address

909 N Central Ave
Kissimmee, FL 34741-5029

Phone

(407) 933-0885

Fax

(407) 933-0520

NPI assigned

Mar 27, 2024

Last updated

Mar 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Celia Pakula

Title

Practice Manager

Phone

(407) 713-5785

Specialties & licenses 1

Addresses

Other names 1

• Apex Endodontic Studio Doing business as

Locations

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.

• Fabiola Maria Douglas, DDS

  • Endodontics
  • Kissimmee, FL
  • NPI 1831753052
  NPD

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1932959236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415029",
            "telephone_number": "407-933-0885",
            "fax_number": "407-933-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415029",
            "telephone_number": "407-933-0885",
            "fax_number": "407-933-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABIOLA DOUGLAS DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "PAKULA",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "407-713-5785"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apex Endodontic Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eye Express, Inc
• Abdul Kader Ezeldin, MD
• Yasmine Ezzair
• F. Christopher Manlio, DO, PA
• Ashlee Fabian
• Omar Atir Fadhli, M.D.
• Zaid Atir Fadhli, MD
• Edwin Doughty Faelnar
• Sophia Grace Failla
• Madelyn Lorraine Fairey

• Endodontics in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.