| NPI | 1558583112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID QUINONES Billing Department 813-931-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL HCC6040) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |