| NPI | 1659954667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN MICHELLE BOWER COO 813-286-2033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZC0006X Pathology, Clinical Pathology |
| 207ZC0500X Pathology, Cytopathology | |
| 207ZP0101X Pathology, Anatomic Pathology | |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2023-05-09 |