Organization
ALAN D SHOOPAK DMD ORTHODONTIC GROUP IV LLC
Active
Other names
Orthodontic Specialists of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN D. SHOOPAK (OWNER)
(727) 522-5599
Entity
Organization
Contact information
Practice address
701 SEBASTIAN BLVD, STE. B, SEBASTIAN, FL 32958-4379
(772) 388-5666
(772) 388-2038
Mailing address
6311 4TH ST N, ST PETERSBURG, FL 33702-7511
(727) 522-5599
(727) 526-1702
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
FL
Other
Enumeration date
02/22/2007
Last updated
10/16/2015
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