| Specialty Scanning Llc | |
|
13640 W Colonial Dr Suite 190 Winter Garden FL 34787-3992 | |
| (407) 654-8211 | |
| (407) 654-6806 |
| Full Name | Specialty Scanning Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13640 W Colonial Dr, Winter Garden, Florida |
| Authorized Official Name and Position | Leonides Sandoval (MANAGER) |
| Authorized Official Contact | 4076548211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Scanning Llc 13640 W Colonial Dr Suite 190 Winter Garden FL 34787-3992 Ph: (407) 654-8211 | Specialty Scanning Llc 13640 W Colonial Dr Suite 190 Winter Garden FL 34787-3992 Ph: (407) 654-8211 |
| NPI Number | 1437432713 |
|---|---|
| Provider Enumeration Date | 09/23/2011 |
| Last Update Date | 09/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437432713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN13000 (Florida) | Primary |
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