| NPI | 1215068861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOSEPH RAND President 941-639-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN6965) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |