| NPI | 1477851053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE WAYNE SMITH Physician/ Owner 813-750-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL 59079) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |