Edward Lee Staudt in Ft Orange - General Practice

Edward Lee Staudt - NPI 1992807960

Edward Lee Staudt is a General Practice in Ft Orange, Florida. Edward Lee Staudt practices all healthcare services and medical treatments related to General Practice. The NPI Number for Edward Lee Staudt is 1992807960. The last update date is 2007-07-08.

Edward Lee Staudt's current location address is 944 Bridgewater Dr, Ft Orange, Florida. You can contact this provider via phone number 3867568953. The mailing address for Edward Lee Staudt is 944 Bridgewater Dr, Ft Orange, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward Lee Staudt
Address 944 Bridgewater Dr, Ft Orange, Florida
Phone Number 3867568953
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1992807960
Provider Enumeration Date 2006-09-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 944 Bridgewater Dr
City Ft Orange
State Florida (FL)
Post Code 32129
Phone Number 3867568953
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN0009915
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Edward Lee Staudt

What is the unique identifier code issued to Edward Lee Staudt by the Centers for Medicare & Medicaid Services (CMS)?

The Edward Lee Staudt has been assigned the NPI (National Provider Identifier) 1992807960. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Edward Lee Staudt is geographically located?

The Edward Lee Staudt is physically situated at the following location: 944 Bridgewater Dr, Ft Orange, FL, 32129.

What is Edward Lee Staudt's area of expertise and its corresponding taxonomy classification?

The Edward Lee Staudt's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

On what date did the Edward Lee Staudt receive the assignment of its 1992807960 from the Centers for Medicare & Medicaid Services?

The Edward Lee Staudt was issued its 1992807960 by the Centers for Medicare & Medicaid Services on 2006-09-01.

When was the information regarding Edward Lee Staudt most recently updated?

The details pertaining to the Edward Lee Staudt, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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