| NPI | 1144506882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W. MYERS President 813-973-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ch9195) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |