NPI | 1316144496 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA ANNE SULLIVAN President 352-372-3600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN10647) |
Enumeration Date | 2007-07-02 |
Last Update Date | 2008-07-15 |