| NPI | 1134302748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES UBANI Physician 813-341-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL me 84332) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-18 |