| NPI | 1497562979 |
|---|---|
| Doing Business As | ADVANCED ENDO LAKEMONT |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MUSCARO Owner 813-692-2200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2025-09-02 |