| NPI | 1184177263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA AMICK Director 727-798-8160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2023-03-23 |