NPI | 1407248792 |
---|---|
Entity Type | Organization |
Authorized Contact | TOMAS E. DE BRIGARD Prrsident/Pediatrician 813-662-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME54593) |
Enumeration Date | 2015-02-24 |
Last Update Date | 2015-02-24 |