| NPI | 1265888606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M KERNAGIS President 813-374-0270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15191) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |