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Spring Lake Group, Pa
Dental Clinic/Center in Orlando, Florida
NPI 1255832440

Spring Lake Group, Pa is a Dental Clinic/Center based in Longwood, FL and is specialized in Dental. Spring Lake Group, Pa practices in Orlando, FL. The NPI Number for Spring Lake Group, Pa is 1255832440 and holds a License No. (Florida).

The current practice location address for Spring Lake Group, Pa is 7051 Dr Phillips Blvd Ste 10, Orlando, FL and can be reached out via phone at 407-345-1442.

Location: 7051 Dr Phillips Blvd Ste 10, Orlando, FL, 32779-3312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255832440
Provider Name
Spring Lake Group, Pa
Credential
Provider Entity Type
Organization
Address
7051 Dr Phillips Blvd Ste 10, Orlando, FL, 32779-3312
Phone Number
407-345-1442
Fax Number
Provider Enumeration Date
02/23/2018
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
572237939 01 PASSPORT
N250058777110 01 FL FLORIDA DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
7051 Dr Phillips Blvd Ste 10
City
Orlando
State
Florida
Zip
32819-5140
Phone Number
407-345-1442
Fax Number
person
Provider Business Mailing Address Details
Address
7051 Dr Phillips Blvd Ste 10
City
Orlando
State
Florida
Zip
32819-5140
Phone Number
407-345-1442
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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