| NPI | 1598985988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD L. SPOTO President 813-884-3287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 5341) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |