| NPI | 1073872289 |
|---|---|
| Doing Business As | VISTAMED CLINIC |
| Entity Type | Organization |
| Authorized Contact | ADEBISI E WILLIAMS CFO 813-454-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL HCC9357) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC9357) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-23 |