| NPI | 1750751038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS A. COELLO Owner 561-368-4057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN12137) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2023-09-11 |