NPI | 1184909913 |
---|---|
Entity Type | Organization |
Authorized Contact | RYAN JAMES ADAMI Owner 813-402-8779 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL OS10332) |
Enumeration Date | 2011-10-12 |
Last Update Date | 2012-10-19 |