| NPI | 1205573144 |
|---|---|
| Former Legal Business Name | THE PIPER CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRIAN SHAH Owner 727-823-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-05-12 |