Provider Demographics
NPI:1447979257
Name:BATISTA, FELIX (CRDH)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:
Last Name:BATISTA
Suffix:
Gender:M
Credentials:CRDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 SIMONTON ST
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-3158
Mailing Address - Country:US
Mailing Address - Phone:305-296-8541
Mailing Address - Fax:
Practice Address - Street 1:1215 SIMONTON ST
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-3158
Practice Address - Country:US
Practice Address - Phone:305-296-8541
Practice Address - Fax:305-230-2678
Is Sole Proprietor?:No
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDH28722124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist