| NPI | 1124395017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST PERILLI Administrator 813-281-8478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: PA PT013200L) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |