| NPI | 1306235676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL WINIKOR President 352-376-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN10996) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |