| NPI | 1962621987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHEFFIELD President 239-334-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 013759) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |