| NPI | 1598017873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WILLIAM MOORE Doctor 813-886-2527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 3605) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |