Organization
ORAL SURGERY ASSOCIATES OF CENTRAL FLORIDA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS KENT POWELSON DMD (PRESIDENT)
(407) 294-3300
Entity
Organization
Contact information
Practice address
7651 ASHLEY PARK CT, SUITE 406B, ORLANDO, FL 32835-6114
(407) 294-3300
(407) 297-7417
Mailing address
7651 ASHLEY PARK CT, SUITE 406B, ORLANDO, FL 32835-6114
(407) 294-3300
(407) 297-7417
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
DN11672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074705000
—
FL
Enumeration date
03/25/2015
Last updated
03/25/2015
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