| NPI | 1679857452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM SCISM VP Of Revenue Cycle Management 813-884-3091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2019-08-30 |