| Orthodontic Specialists Of Florida | |
|
1074 Spring Lake Sq Winter Haven FL 33881 | |
| (863) 291-4500 | |
| (863) 299-3781 |
| Full Name | Orthodontic Specialists Of Florida |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1074 Spring Lake Sq, Winter Haven, 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 1074 Spring Lake Sq Winter Haven FL 33881 Ph: (863) 291-4500 |
| NPI Number | 1356476592 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 10/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356476592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Florida) | Primary |
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