NPI | 1306404777 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL CIBRAN President 727-688-8515 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2019-05-31 |
Last Update Date | 2025-02-12 |