| NPI | 1447588058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINA M BEECH Medical Biller 813-960-3436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL 73279) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2010-03-12 |