NPI | 1255379004 |
---|---|
Other Name | FACULTY ASSOCIATES, ST PETE CLINIC |
Entity Type | Organization |
Authorized Contact | ANA ISABEL GARCIA Dean 352-273-5800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-06-03 |
Last Update Date | 2016-02-10 |