| NPI | 1356484281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUNNY W. MEADOWS Office Manager 850-455-0631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN 12103) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |