NPI | 1194763557 |
---|---|
Other Name | (FORMER OCCUPANT AT THIS ADDRESS WAS MEDERO MEDICAL-TAMPA WEST) |
Entity Type | Organization |
Authorized Contact | SANDRA L. DRIVER VP Of Operations 727-532-7647 |
Organization Subpart ? | No |
Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
Enumeration Date | 2006-06-04 |
Last Update Date | 2009-12-07 |