| NPI | 1609835453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L. MICHAEL BADGER President 407-370-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN13942) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-08-22 |