| NPI | 1578817649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LAYTON CEO 813-802-9969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL 9100648) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |