| NPI | 1366728016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO P MONSON 0 Wner 727-259-3889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME82686) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |