Provider Demographics
NPI:1811793805
Name:FLORIDA ORTHODONTIC SERVICES, PLLC
Entity type:Organization
Organization Name:FLORIDA ORTHODONTIC SERVICES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVASTANO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:561-427-2237
Mailing Address - Street 1:580 VILLAGE BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-1951
Mailing Address - Country:US
Mailing Address - Phone:561-427-2237
Mailing Address - Fax:866-324-0552
Practice Address - Street 1:580 VILLAGE BLVD STE 120
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-1951
Practice Address - Country:US
Practice Address - Phone:561-427-2237
Practice Address - Fax:866-324-0552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics