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General NPI Number Information
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NPI Number | 1487654166
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Entity Type | Individual
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Provider Name | DEAN L. SORRENTO DPM
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Gender | Male
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 5841 ARGERIAN DR STE 102
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-4505
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Country | US
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Telephone | 813-788-1006
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Fax | 813-726-5153
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Provider Business Mailing Address
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Address Line | 15815 SHADDOCK DR STE 130
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City | WINTER GARDEN
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State | FL
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Zip | 34787-5773
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Country | US
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Telephone | 813-400-1140
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Fax | 813-870-3569
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | PO4427
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 213ES0000X
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Taxonomy Name | Sports Medicine Podiatrist
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License Number | PO4427
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO4427
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | PO4427
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO4427
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License Number State | FL
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