| NPI | 1700181179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGY S FARAG President 727-422-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME81763) |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2015-04-24 |