| NPI | 1528072006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. DEVITO Pres/VP/Sec/Treas 727-725-4744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: FL DN10472) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |