| NPI | 1639241656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A. BROWN Dentist 727-586-1732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL DN9995) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2012-08-02 |