| NPI | 1760781199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L MIDDLEBROOKS Oral And Maxillofacial Surgeon 904-737-0690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN 7934) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-24 |