DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHILDREN AND TEEN ORTHO GROUP OF FLORIDA

MEDICARE: CHILDREN AND TEEN ORTHO GROUP OF FLORIDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164881835
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN AND TEEN ORTHO GROUP OF FLORIDA
Provider Business Mailing Address
First Line : 2300 LAKEVIEW PKWY STE 250
Second Line :
City : ALPHARETTA
State : GA
Zip : 30009-3954
Country : US
Telephone Number : 470-207-3264
Fax Number :
Provider Business Practice Location Address
First Line : 3885 S FLORIDA AVE
Second Line :
City : LAKELAND
State : FL
Zip : 33813-1109
Country : US
Telephone Number : 863-333-0397
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : BRIAN SMITH
Credential :
Telephone Number : 470-207-3264
Provider Enumeration Date : 02/23/2016
Last Update Date : 05/20/2026

Similar Medicare Providers

1609632082 — CHILDREN AND TEEN ORTHO GROUP OF FLORIDA
Practice Location Address:
3885 S FLORIDA AVE
LAKELAND, FL
33813-1109
Practice Phone: 863-333-0397
Practice Fax:
1205825361 — OPTIMUM THERAPY INC
Practice Location Address:
3885 S FLORIDA AVE
LAKELAND, FL
33813-1109
Practice Phone: 863-648-1186
Practice Fax: 863-709-1416
1992795587 — ROMEO ADANO TAGALA MD
Practice Location Address:
3885 S FLORIDA AVE
LAKELAND, FL
33813-1109
Practice Phone: 863-644-6608
Practice Fax: 863-644-0147
1558342170 — DR. VICTORIA M RABE-TAGALA MD
Practice Location Address:
3885 S FLORIDA AVE
LAKELAND, FL
33813-1109
Practice Phone: 863-646-6608
Practice Fax: 863-644-0147
1952387425 — MRS. LILIAN JOSE PAGKALIWANGAN RPT
Practice Location Address:
3885 S FLORIDA AVE
LAKELAND, FL
33813-1109
Practice Phone: 863-648-1186
Practice Fax: 863-709-1416
1154337590 — OPTIMUM THERAPY
Practice Location Address:
3885 S FLORIDA AVE
LAKELAND, FL
33813-1109
Practice Phone: 863-648-1186
Practice Fax: 863-409-1416

Directions to “CHILDREN AND TEEN ORTHO GROUP OF FLORIDA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.