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Matthew Denzel Mcleod
Student in an Organized Health Care Education/Training Program in Orlando, Florida
NPI 1679104129

Matthew Denzel Mcleod is a Student in an Organized Health Care Education/Training Program based in Orlando, FL. Matthew Denzel Mcleod practices in Orlando, FL. The NPI Number for Matthew Denzel Mcleod is 1679104129 and holds a License No. 26776 (Florida).

The current practice location address for Matthew Denzel Mcleod is 13559 Narcoossee Rd, Orlando, FL and can be reached out via phone at 407-476-5650.

Location: 13559 Narcoossee Rd, Orlando, FL, 32819-7509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679104129
Provider Name
Matthew Denzel Mcleod
Credential
Provider Entity Type
Individual
Gender
Male
Address
13559 Narcoossee Rd, Orlando, FL, 32819-7509
Phone Number
407-476-5650
Fax Number
Provider Enumeration Date
02/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13559 Narcoossee Rd
City
Orlando
State
Florida
Zip
32832-7136
Phone Number
407-476-5650
Fax Number
person
Provider Business Mailing Address Details
Address
13559 Narcoossee Rd
City
Orlando
State
Florida
Zip
32832-7136
Phone Number
407-476-5650
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
26776 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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