Organization
ALAN D. SHOOPAK, D.M.D., P.A.
Active
Other names
Orthodontic Specialists of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN DAVID SHOOPAK (PRESIDENT)
(727) 522-5599
Entity
Organization
Contact information
Practice address
1626 RINGLING BLVD STE 500, SARASOTA, FL 34236-6830
(727) 522-5599
Mailing address
6311 4TH ST N, ST PETERSBURG, FL 33702-7511
(727) 522-5599
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN9319
FL
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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