| NPI | 1033492236 |
|---|---|
| Doing Business As | PEDIATRIC PLACE OF TAMPA |
| Entity Type | Organization |
| Authorized Contact | MICHELE JOHNSON-TOWSON Owner 813-264-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME62751) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |