| NPI | 1205292661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN-MARIE HARRIS RN 813-335-9923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: FL RN9219102) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |