| NPI | 1477935534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C SCHIRMER Manager 941-256-3675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN 21049) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2017-01-03 |