NPI | 1013344225 |
---|---|
Entity Type | Organization |
Authorized Contact | TOMMY CG MCELROY Owner President 813-907-6300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME102910) |
Enumeration Date | 2013-10-02 |
Last Update Date | 2013-10-02 |