| NPI | 1144626128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEENA RATTAN P 813-254-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL me40389) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |