| NPI | 1205399946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD MICHAEL VOLPE RN, Sfa, Csa, Sa C 727-514-1188 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |