Provider Demographics
NPI:1851754923
Name:FLORIDA PREVENTIVE SOLUTIONS
Entity Type:Organization
Organization Name:FLORIDA PREVENTIVE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBBIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:866-894-3171
Mailing Address - Street 1:PO BOX 402574
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-0574
Mailing Address - Country:US
Mailing Address - Phone:866-894-3171
Mailing Address - Fax:
Practice Address - Street 1:4565 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2931
Practice Address - Country:US
Practice Address - Phone:866-894-3171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14-1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty