| NPI | 1053649459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN A FRANKLIN President 813-448-7828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 11975) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2019-12-24 |