| NPI | 1659885200 |
|---|---|
| Doing Business As | MDSH |
| Entity Type | Organization |
| Authorized Contact | SAM HACKETTE Owner 727-422-4688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2021-04-30 |