| NPI | 1326241738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ANN MCREYNOLDS President Executive Director 727-849-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC5540) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-20 |