| NPI | 1750500963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L SCHUMACHER Chief Executive Officer 904-388-3559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 10152) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2015-02-16 |