| NPI | 1205264355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIKANTH MALEMPATI Director 727-725-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME106228) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |