MEDICARE: FLOSSOPHY OF COLLEGE PARK PA

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
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1699553644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOSSOPHY OF COLLEGE PARK PA

Provider Business Mailing Address
First Line	:	3600 FORMOSA AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-3023
Country	:	US
Telephone Number	:	407-898-2371
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 FORMOSA AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32804-3023
Country	:	US
Telephone Number	:	407-898-2371
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NALINI RAMLOCHAN
Credential	:	DMD
Telephone Number	:	407-898-2371

Provider Enumeration Date	:	09/20/2023
Last Update Date	:	09/20/2023

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