| NPI | 1013067503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA GROOMES Owner /Doctor 352-567-2997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 15978) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2024-08-06 |