| NPI | 1912077199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRNA RODRIGUEZ President 407-273-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 12611) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |