| NPI | 1558798124 |
|---|---|
| Doing Business As | FLORIDA ONE PROVIDER |
| Entity Type | Organization |
| Authorized Contact | M FRIED CEO 877-353-9825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN13882) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2017-04-28 |