NPI | 1114080967 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA JOYCE STEWART President 727-442-2350 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: FL 299992701) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL 800022197) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2010-12-29 |