| NPI | 1184903775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY N BRAYER President 727-323-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 15217) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN 8235) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |