| NPI | 1376662197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER R PAULMINO Director 727-320-8831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15472) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |