NPI | 1114777315 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIET NEWTON Medical Director 813-341-8848 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-03-22 |
Last Update Date | 2024-03-22 |