| NPI | 1013178458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE DIESING REMMEL President 727-525-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL CH0003911) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2010-11-08 |