| NPI | 1598726325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY L MICHAELOS Billing Supervisor 727-585-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL 2006002749) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2024-11-13 |