NPI | 1003589060 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH N GRIMAUDO Dentist 813-345-8580 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2021-07-27 |
Last Update Date | 2023-11-01 |