NPI | 1558170662 |
---|---|
Entity Type | Organization |
Authorized Contact | SYED MUSTAFA ZAIDI Medical Director 727-858-5508 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2025-01-03 |
Last Update Date | 2025-01-03 |