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Individual

DR. DEAN L. SORRENTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
33920 US HIGHWAY 19 N STE 200, PALM HARBOR, FL 34684-2373
(727) 683-8012
(407) 671-4155
Mailing address
15815 SHADDOCK DR STE 130, WINTER GARDEN, FL 34787-5773
(813) 400-1140
(813) 870-3569

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4427
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
PO4427
FL
213ES0000X
Sports Medicine Podiatrist
PO4427
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO4427
FL
213ES0131X
Foot Surgery Podiatrist
PO4427
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018011310003
PA
01
01229701
BLUE CROSS
PA
05
115123700
FL
01
869667
BLUE SHIELD
PW
01
OKZQ5
BCBS
FL
Enumeration date
07/26/2005
Last updated
02/03/2026
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