| NPI | 1750427852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LYNN VERARDI Doctor 407-688-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN16615) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |