Provider Demographics
NPI:1831973379
Name:SPEED DENTAL LLC
Entity type:Organization
Organization Name:SPEED DENTAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAURICIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ORLANDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-424-5202
Mailing Address - Street 1:6112 PARKSET DR
Mailing Address - Street 2:
Mailing Address - City:LITHIA
Mailing Address - State:FL
Mailing Address - Zip Code:33547-4872
Mailing Address - Country:US
Mailing Address - Phone:813-940-2313
Mailing Address - Fax:
Practice Address - Street 1:6112 PARKSET DR
Practice Address - Street 2:
Practice Address - City:LITHIA
Practice Address - State:FL
Practice Address - Zip Code:33547-4872
Practice Address - Country:US
Practice Address - Phone:813-940-2313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-24
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty