| NPI | 1568407872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDIE M PARAZINE Office Manager 850-623-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN14798) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN14229) |
| 1223G0001X Dentist, General Practice (Licence: FL DN2145) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |