| NPI | 1699861336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROBERT LLOYD President 386-253-3629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: FL DN0013454) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-07-24 |