| NPI | 1861947459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW CROUCH Office Manager 727-799-4897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN18840) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2019-07-22 |