| NPI | 1639690373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOOK LIM Manager 813-340-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL AP3812) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2022-07-21 |