| NPI | 1710921036 |
|---|---|
| Doing Business As | SOUTH FLORIDA OMS |
| Entity Type | Organization |
| Authorized Contact | RANDENA LEONARD Administrator 305-661-5297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN0010151) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN8052) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2013-01-22 |