Active NPI
Soh of Florida PA
- General Practice Dentistry
- Orlando, FL
National Provider Identifier
1255816906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SOH OF FLORIDA PA
- Practice address
- 610 N Mills Ave Ste 200
Orlando, FL 32803-7113 - Phone
- (407) 674-8770
- NPI assigned
- Sep 28, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashly Sunshine
- Title
- Credentialing Specialist
- Phone
- (314) 413-2803
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
610 N Mills Ave Ste 200
Orlando, FL 32803-7113
Mailing address
1422 Elbridge Payne Rd Ste 240
Chesterfield, MO 63017-8544
Phone (636) 362-4986
Other practice location 1
1584 Kingsley Ave Ste A
Orange Park, FL 32073-4515
Phone (904) 269-1303
National Provider Directory
National Provider Directory- Tax ID family
- Soh of Florida PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Orange Park, FL
- NPI 1407630148
-
- Dentist
- Orlando, FL
- NPI 1669949616
Locations
610 N Mills Ave
Ste 200
Orlando, FL 32803
Phone (407) 674-8770
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Dentist
- Orange Park, FL
- NPI 1407630148
-
- Dentist
- Orlando, FL
- NPI 1669949616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743984000000",
"number": "1255816906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 ELBRIDGE PAYNE RD STE 240",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630178544",
"telephone_number": "636-362-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N MILLS AVE STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328037113",
"telephone_number": "407-674-8770"
}
],
"practiceLocations": [
{
"address_1": "1584 Kingsley Ave Ste A",
"address_purpose": "LOCATION",
"city": "Orange Park",
"state": "FL",
"postal_code": "320734515",
"country_code": "US",
"telephone_number": "904-269-1303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SOH OF FLORIDA PA",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-28",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A",
"authorized_official_last_name": "SUNSHINE",
"authorized_official_first_name": "ASHLY",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "314-413-2803"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.