| NPI | 1598071730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER NEWMAN Owner 727-897-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL OS11081) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2016-05-16 |