| NPI | 1386935179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA TANG Pres 727-548-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL HCC8956) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2018-10-07 |