Orthodontic Specialists Of Florida | |
1085 N John Young Pkwy Kissimmee FL 34741-4210 | |
(407) 483-5797 | |
(407) 483-5799 |
Full Name | Orthodontic Specialists Of Florida |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1085 N John Young Pkwy, Kissimmee, Florida |
Authorized Official Name and Position | Alan David Shoopak (OWNER) |
Authorized Official Contact | 7275225599 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Orthodontic Specialists Of Florida 6311 4th St N St Petersburg FL 33702-7511 Ph: (727) 522-5599 | Orthodontic Specialists Of Florida 1085 N John Young Pkwy Kissimmee FL 34741-4210 Ph: (407) 483-5797 |
NPI Number | 1407145717 |
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Provider Enumeration Date | 04/07/2011 |
Last Update Date | 10/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407145717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN9319 (Florida) | Primary |
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