| NPI | 1285827170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F ALTENBURG Owner 813-877-7265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: FL ME0035287) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |