| NPI | 1528239068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO R TEYTELBAUM President/Owner 727-344-7339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL me0044110) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2010-02-16 |