| NPI | 1104056209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY HOBACK President/CEO 813-866-0930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2023-04-14 |