| NPI | 1598926453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN RENEE STONE President 813-681-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL L05000002242) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2010-05-10 |