| NPI | 1477763886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L HOWE Billing Supervisor 813-431-2633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL HCC5580) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |