| NPI | 1457428005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA SHEA MCLAUGHLIN Director Of Contracting 727-785-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL PENDING) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |