| NPI | 1023479193 |
|---|---|
| Doing Business As | HEMWELL SOUTH TAMPA |
| Entity Type | Organization |
| Authorized Contact | ROB SULZER COO 855-697-9355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |