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Organization

THRESHOLD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES L. DENNIS ESQUIRE (EXECUTIVE DIRECTOR)
(321) 527-2064
Entity
Organization

Contact information

Practice address
3550 NORTH GOLDENROD ROAD, WINTER PARK, FL 32792
(407) 671-7060
(407) 671-6005
Mailing address
3550 NORTH GOLDENROD ROAD, WINTER PARK, FL 32792
(407) 671-7060
(407) 671-6005

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
FL
261QD0000X
Dental Clinic/Center
7292
FL
291U00000X
Clinical Medical Laboratory
FL
332B00000X
Durable Medical Equipment & Medical Supplies
FL

Other

Enumeration date
02/01/2008
Last updated
09/21/2011
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