| NPI | 1194156224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH GOODRICH President 352-376-3216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16117) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-11-27 |