NPI | 1659617215 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIE DESHON MASON Director 813-223-4260 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: FL sw-9357) |
Additional Taxonomies | 251S00000X (Licence: FL sw-8894) |
Enumeration Date | 2012-12-28 |
Last Update Date | 2012-12-28 |