| 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 |