Individual ProviderLauryn Brooke MohlerDentistDental ProvidersPractice Address782 Belle Terre Pkwy Ste 100, Palm Coast, FL 32164-2460(386) 313-5991(386) 748-9887PECOS EnrollmentBased on the most recent information from CMS, provider Lauryn Brooke Mohler does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1023677861Provider TypeIndividualFull NameMohler, Lauryn BrookeTitleDr.CredentialDMDGenderFemaleSole ProprietorNoEnumeration Date6/6/2019Last Updated6/6/2019Contact InformationPractice LocationPractice Address782 Belle Terre Pkwy Ste 100, Palm Coast, FL 32164-2460Phone(386) 313-5991FaxUnlisted FaxMailing LocationMailing Address1 Lakeside Pl N, Flagler Beach, FL 32136-4388Phone(386) 748-9887FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense24197Florida