| NPI | 1558513457 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHRISTOPHER VAN SANT V.P. Planning And Development 813-712-2900  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty | 
| Enumeration Date | 2008-10-22 | 
| Last Update Date | 2009-01-16 |