SOH OF FLORIDA PA NPI 1255816906

NPI Information

SOH OF FLORIDA PA is a general practice dentist in Orlando, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SOH OF FLORIDA PA NPI is 1255816906. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

610 N MILLS AVE STE 200
ORLANDO, FL
ZIP 32803-113
Phone: (407) 674-8770

The provider's authorized official is Ray Weber .
The authorized official title is Regional Support Specialist and has the following contact phone number (314) 753-8154.

The enumeration date for this NPI number is 9/28/2018 and was last updated on 9/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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