NPI | 1659452886 |
---|---|
Entity Type | Organization |
Authorized Contact | J. HUNTER COLLINS Doctor 321-725-6565 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL 14275) |
Additional Taxonomies | 122300000X Dentist (Licence: FL 14467) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2020-08-22 |