Search › Florida › 122300000X
Phattara Gibbs, DMD
NPI 1205094117 · on the registry since 2008 · sole proprietor
Practice
- Address
- 4744 S Florida Ave
Lakeland, FL 33813 - Phone
- (863) 644-1226
- Fax
- (863) 644-3756
- Organisation at this address
- Coast Florida P.A.
S. Matthew Schacht Dds, PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-11-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida