Brilliant Smiles Orthodontics

Organization Health Maintenance Organization · NPI 1568835080

Brilliant Smiles Orthodontics is a Health Maintenance Organization in Merritt Island, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in: FL
In the registry since: 2015

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Practice location Address checks out

455 Magnolia Ave
Merritt Island, FL 32952
Phone: (321) 914-3972

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Maintenance Organization (primary)	Taxonomy 302R00000X · Licence DN17172 (FL)

Record details

NPI number	1568835080
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Romia Goff — Doctor · (321) 914-3972
NPI enumerated	November 5, 2015
Last updated in NPPES	November 5, 2015
Mailing address	455 Magnolia Avenue, Merritt Island, FL 32952