| NPI | 1275109480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MCPHAIL Administrator 727-586-6483 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 208000000X Pediatrics |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2024-02-27 |