| NPI | 1083639926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J. DAVIS President 727-553-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |