| NPI | 1043582331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ELLIOTT FARBER President 407-282-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: FL DN0010034) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |