| NPI | 1306230545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS KENT POWELSON President 407-294-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: FL DN11672) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |