NPI | 1972214419 |
---|---|
Doing Business As | THE SMILE CONNECTION AT SABAL PALM |
Entity Type | Organization |
Authorized Contact | TEMPLE O ROBINSON CEO 850-576-4073 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-12-06 |
Last Update Date | 2023-04-18 |