| NPI | 1427390608 |
|---|---|
| Doing Business As | V.I.P. |
| Entity Type | Organization |
| Authorized Contact | JORDAN STELLER Clinic Director 727-527-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME106833) |
| Additional Taxonomies | 2086S0129X (Licence: FL ME106833) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |