| NPI | 1043581655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL SCOTT DENKER Owner 727-441-4581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL 43347) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |