| NPI | 1558434365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE NUCCI Office Manager 561-624-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN6795) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN 8638) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |