| NPI | 1649397662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN COHEN Physician 727-894-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800000151) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-03-27 |