| NPI | 1689735136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HUNTER QUIRK Officer 941-388-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 8972) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-08-06 |