| NPI | 1659874196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MEREDITH GRIMAUDO Owner 813-345-8580 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2024-06-25 |