| Soh Of Florida Pa | |
|
610 N Mills Ave Ste 200 Orlando FL 32803-7113 | |
| (407) 674-8770 | |
| Not Available |
| Full Name | Soh Of Florida Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 610 N Mills Ave Ste 200, Orlando, Florida |
| Authorized Official Name and Position | Ray Weber (REGIONAL SUPPORT SPECIALIST) |
| Authorized Official Contact | 3147538154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soh Of Florida Pa 1422 Elbridge Payne Rd Ste 240 Chesterfield MO 63017-8544 Ph: (636) 362-4986 | Soh Of Florida Pa 610 N Mills Ave Ste 200 Orlando FL 32803-7113 Ph: (407) 674-8770 |
| NPI Number | 1255816906 |
|---|---|
| Provider Enumeration Date | 09/28/2018 |
| Last Update Date | 09/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255816906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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