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Provider Information for 1144742792

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

LUZ NATALIA FRANCO TAVERAS DDS

Gender: FEMALE

Individual NPI: 1144742792

Calendar   Last Updated:  2018-08-13
  Certification Date: 

Details

Name Value
NPI 1144742792
Enumeration Date 2017-07-14
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 7300 W MCNAB RD STE 115
TAMARAC, FL 33321-5329
United States

Phone: 354-856-5042 | Fax:
View Map External Link
Primary Practice Address 7300 W MCNAB RD STE 115
TAMARAC, FL 33321
United States

Phone: 954-722-0100 | Fax:
View Map External Link
Secondary Practice Address 3601 FEDERAL HWY
MIAMI, FL 33137-3795
United States

Phone: 305-576-6611 | Fax:
View Map External Link

708 NE 125TH ST
NORTH MIAMI, FL 33161-5612
United States

Phone: 786-433-8815 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 023279700
Other FLORIDA DENTAL LICENSE FL DN22829
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist FL DN22829