| NPI | 1487994091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAIRA SADHIA KHAN President 813-659-3328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME72624) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2013-02-18 |