| NPI | 1699072827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L. BOWERS President 352-735-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN9991) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |