| NPI | 1164605408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOZENA BARBARA SABALA President 727-443-3832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS8316) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2008-10-10 |