| NPI | 1437384526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARON B SHAW Office Manager 727-329-8970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0060595) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-06-05 |