| NPI | 1932456571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN AUBREY FRANKLIN President 813-448-7828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL F11975) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DN00186) |
| 1223P0300X Dentist, Periodontics (Licence: FL DN18577) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN 14080) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2019-12-24 |