NPI | 1649862970 |
---|---|
Entity Type | Organization |
Authorized Contact | RONNIKA L STEWART Director Of Clinical Services 813-519-5180 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2021-02-08 |
Last Update Date | 2021-02-08 |