| Orthodontic Specialists Of Florida | |
|
17401 Commerce Park Blvd Suite 101 Tampa FL 33647-3501 | |
| (813) 615-0405 | |
| (813) 615-0750 |
| Full Name | Orthodontic Specialists Of Florida |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 17401 Commerce Park Blvd, Tampa, Florida |
| Authorized Official Name and Position | Alan D 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 17401 Commerce Park Blvd Suite 101 Tampa FL 33647-3501 Ph: (813) 615-0405 |
| NPI Number | 1972648194 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 10/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972648194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Florida) | Primary |
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