| NPI | 1245513449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET R DEES Managing Member 727-474-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL L11000095663) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2013-09-20 |