| NPI | 1255639886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LAWRENCE SIEGEL Owner/President 813-972-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME37894) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-06-15 |