| NPI | 1043362585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ANIBAL ORTIZ Managing Member 352-978-2413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15853) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2009-09-26 |