| NPI | 1265081954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY A HENDRIX Owner 727-326-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2022-03-15 |