| NPI | 1013639251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MCCARTHY COO 727-259-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2024-07-16 |