| NPI | 1306953559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASOOD H KHAN M.D. 813-780-9616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME88950) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-11-05 |