| 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 |