| NPI | 1346443355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARTON R BLUMBERG President 352-430-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: FL DN 9030) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-08-22 |