| NPI | 1780088575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MARRA PERRON Owner 941-749-7638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 11507) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |