| NPI | 1639217219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN BROWN President 813-289-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: FL CH8527) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2020-08-22 |