| NPI | 1952441073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP M DAVIS President 941-366-9585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN0005998) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-09-19 |