| NPI | 1588871156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN BLOOM Dentist 727-384-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN10858) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |