NPI | 1689091050 |
---|---|
Entity Type | Organization |
Authorized Contact | DENISE ELAINE MERDICH President 813-215-7024 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL 3257532) |
Enumeration Date | 2014-03-24 |
Last Update Date | 2014-03-24 |