| 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 |