NPI | 1609297928 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA BRUNTON Owner 813-792-8555 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL 2776972) |
Enumeration Date | 2014-01-05 |
Last Update Date | 2024-08-02 |