| NPI | 1508207408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MAYNES MORGAN Owner 352-742-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN11130) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |