| Children And Teen Ortho Group Of Florida | |
|
3885 S Florida Ave Lakeland FL 33813-1109 | |
| (863) 333-0397 | |
| Not Available |
| Full Name | Children And Teen Ortho Group Of Florida |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3885 S Florida Ave, Lakeland, Florida |
| Authorized Official Name and Position | Brian Smith (CHIEF OFFICER) |
| Authorized Official Contact | 7702315348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children And Teen Ortho Group Of Florida 2300 Lakeview Pkwy Ste 250 Alpharetta GA 30009-3954 Ph: (470) 207-3264 | Children And Teen Ortho Group Of Florida 3885 S Florida Ave Lakeland FL 33813-1109 Ph: (863) 333-0397 |
| NPI Number | 1609632082 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 02/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609632082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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