| NPI | 1184821860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE DIDOMENICO President 727-365-4506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL CH0007562) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2011-04-13 |