ORAL SURGERY ASSOCIATES OF CENTRAL FLORIDA, PA; NPI #1306230545

Contact Information

ORAL SURGERY ASSOCIATES OF CENTRAL FLORIDA, PA

7651 ASHLEY PARK CT
SUITE 406B
ORLANDO, FL 32835-6114

Phone: 407-294-3300
Fax: 407-297-7417
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for ORAL SURGERY ASSOCIATES OF CENTRAL FLORIDA, PA

NPI Number 1306230545

LBN Legal business name ORAL SURGERY ASSOCIATES OF CENTRAL FLORIDA, PA

Authorized official DOUGLAS POWELSON - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/25/2015

Last updated 03/25/2015 - About 11 years ago

Identifiers

FL	License #	DN11672
FL	Medicaid	074705000

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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