| NPI | 1811295033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE SWEENEY Dds/Owner 813-685-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL DN0009335) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-03-11 |