| NPI | 1841880739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER HAMBROOK Oral And Maxillofacial Surgeon 352-331-2016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
| Additional Taxonomies | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-02-18 |