| NPI | 1659625911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR QUEENSBOURROW Physician Assistant 800-507-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: FL Pa9106708) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-19 |