| NPI | 1568983708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY ARRON PARKER President 941-748-7403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN-14476) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-07-21 |