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 |