| NPI | 1023021359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A WORMAN Pres 727-321-6911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN5007) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |