| NPI | 1942497458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN SHIPMAN Co Owner 352-373-4924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0011697) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN0010941) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |