NPI | 1114330800 |
---|---|
Doing Business As | ADVENTHEALTH CENTRA CARE -SOUTH TAMPA |
Entity Type | Organization |
Authorized Contact | SCOTT C BRADY President/CEO 407-200-2300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: 261QU0200X) |
Additional Taxonomies | 207Q00000X Family Medicine |
208000000X Pediatrics | |
261QU0200X Clinic/Center, Urgent Care | |
363A00000X Physician Assistant | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2014-06-10 |
Last Update Date | 2023-04-20 |