| NPI | 1124242284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN CARROLL WARNER Dentist 727-536-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 10193) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-08-07 |