NPI: 1356438659 · SANTA ROSA BEACH, FL 32459 · Dentist · NPI assigned 10/06/2006
| Authorized Official | O'DONNELL, MICHAEL (PRESIDENT) |
| NPI Enumeration Date | 10/06/2006 |
Other providers sharing the same authorized official: O'DONNELL, MICHAEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| PECONIC BAY PRIMARY MEDICAL CARE | MATTITUCK | NY | $3.39M |
| GREAT FLORIDA SMILES & ORTHODONTICS PCB, PLLC | PANAMA CITY BEACH | FL | $9K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 25 | $2K |