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 |