| NPI | 1770699225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN C GOLWAY CEO Pres 352-377-6998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN00011267) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-02-14 |