| NPI | 1568031342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COOLEY G PANTAZIS Owner 352-208-7514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-06-24 |