| NPI | 1407395361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY C LEVINE Oral Surgeon 813-985-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: FL DN8309) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |