Provider Demographics
NPI:1821608803
Name:VAKHARIA, CHARMI
Entity Type:Individual
Prefix:
First Name:CHARMI
Middle Name:
Last Name:VAKHARIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 BAYSHORE BLVD UNIT 1201
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-8844
Mailing Address - Country:US
Mailing Address - Phone:908-227-8194
Mailing Address - Fax:
Practice Address - Street 1:5710 US HIGHWAY 98 N
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33809-3108
Practice Address - Country:US
Practice Address - Phone:863-640-2150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261771223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry