| NPI | 1578926739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMAD YOUSEF Owner 813-960-1100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |