Provider Demographics
NPI:1134510068
Name:POCOLA, EDUARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:EDUARD
Middle Name:
Last Name:POCOLA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1679 VIRGINIA WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6703
Mailing Address - Country:US
Mailing Address - Phone:727-505-5893
Mailing Address - Fax:
Practice Address - Street 1:4924 ALLEN RD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33541-3526
Practice Address - Country:US
Practice Address - Phone:813-779-8591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-13
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN21168122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist