| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1982607875 | BISHOP | JERRY | W | 13933 17TH ST STE 101 | DADE CITY | FL | 335254604 | |
| 1467802892 | ROQUE | MARK | CHRISTOPHER | 13933 17TH ST | DADE CITY | FL | 335254604 | |
| 1508852351 | WERNE | CARL | S | 111 MALTESE DR | MIDDLETOWN | NY | 10940 |