| NPI | 1417237678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY ROBINSON President 727-329-8859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME86818) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |