| NPI | 1538552245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R REPPY Manager 813-307-0933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL OS7246) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |