| NPI | 1588717557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY STEPHEN ROTOLE President 941-922-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN0014656) |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2013-01-23 |