| NPI | 1619244555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET R DEES Managing Member 727-474-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL 11081332) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2018-04-06 |