| NPI | 1629429204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E. WEBB Asst Dir Medical/Health Admin 352-273-6750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DRP1610) |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2016-06-25 |