| NPI | 1053374991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE LYNN COWART President/Medical Director 727-572-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-08-22 |