| NPI | 1316068166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A BURKE Owner 727-452-4084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME78541) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |