| NPI | 1396582177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO CARIBAS MENDIBLE Oral Surgeon 813-553-5344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |