| NPI | 1396067104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J SASSANO President 727-781-6747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL OS5374) |
| Enumeration Date | 2010-02-20 |
| Last Update Date | 2010-06-24 |