| NPI | 1760997175 |
|---|---|
| Doing Business As | ORTHODONTIC SPECIALISTS OF FLORIDA |
| Entity Type | Organization |
| Authorized Contact | ALAN DAVID SHOOPAK President 727-522-5599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN9319) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |