| NPI | 1386880318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY A ODUKOMAIYA Owner 813-971-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME68789) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2009-12-29 |