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General NPI Number Information
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NPI Number | 1811793805
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Entity Type | Organization
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Legal Business Name | FLORIDA ORTHODONTIC SERVICES, PLLC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 580 VILLAGE BLVD STE 120
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-1951
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Country | US
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Telephone | 561-427-2237
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Fax | 866-324-0552
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Provider Business Mailing Address
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Address Line | 580 VILLAGE BLVD STE 120
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-1951
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Country | US
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Telephone | 561-427-2237
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Fax | 866-324-0552
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Authorized Official
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Title or Position | OWNER
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Name | DR. NICK SAVASTANO
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Credential | DMD, MS
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Telephone | 561-427-2237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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