| NPI | 1568758860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN JOHN SZCZEPANIK Owner 407-352-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN 8437) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2011-07-07 |