| NPI | 1477287720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIRAM SUNDARAMOORTHY Chief Compliance Officer 813-444-5838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2024-03-15 |