| NPI | 1619112208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M LIGHT President 727-522-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME0025779) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |