| NPI | 1699217190 |
|---|---|
| Other Name | PERSONALIZED PRIMARY & DIABETES SPECIALTY CARE |
| Entity Type | Organization |
| Authorized Contact | SHANI VANN DAVIS Owner, Nurse Practitioner 813-936-2609 |
| Organization Subpart ? | |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |