| NPI | 1639514045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A FALCO President 407-804-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN12688) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |