NPI | 1699221838 |
---|---|
Entity Type | Organization |
Authorized Contact | ANA PAULA DIAS RIBEIRO Clinical Assistant Professor 352-575-3226 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DTP639) |
Enumeration Date | 2016-08-28 |
Last Update Date | 2016-08-28 |