| NPI | 1285026849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT C OSTRANDER Owner 727-522-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: FL CH11366) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |