| NPI | 1376621672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. DEVITO Orthodontist 813-237-1982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL dn10472) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |