| NPI | 1154206092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND OKWEN Manager 813-270-7270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-08 |