| NPI | 1427599240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER N LESFLORIS Co Owner 727-510-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL 30211895) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |