1588878441 NPI number — ORAL SURGERY CENTER OF WEST ORLANDO

Table of content: (NPI 1588878441)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588878441 NPI number — ORAL SURGERY CENTER OF WEST ORLANDO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ORAL SURGERY CENTER OF WEST ORLANDO
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588878441
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/18/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12200 W COLONIAL DR
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
WINTER GARDEN
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34787-4125
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-656-9455
Provider Business Mailing Address Fax Number:
407-656-6145

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12200 W COLONIAL DR
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
WINTER GARDEN
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34787-4125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-656-9455
Provider Business Practice Location Address Fax Number:
407-656-6145
Provider Enumeration Date:
05/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BRICENO
Authorized Official First Name:
HECTOR
Authorized Official Middle Name:
L
Authorized Official Title or Position:
ORAL SURGEON
Authorized Official Telephone Number:
407-656-9455

Provider Taxonomy Codes

  • Taxonomy code: 1223S0112X , with the licence number:  07-00004492 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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