| NPI | 1245404094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA A. GRIFFITH Administrator/ Operations Manager 813-932-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X (Licence: FL 230426) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |