| NPI | 1497759161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MARIE KLAY Office Manager 813-971-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME13823) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2008-06-23 |