| NPI | 1376748228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAZI M HASSAN Owner Medical Director 727-497-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2007-08-10 |