| NPI | 1396527321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIRAM SUNDARAMOORTHY Chief Compliance Officer 813-444-5838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2024-03-15 |