| NPI | 1700226867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LEE ALIBERTI Practice Administrator 813-872-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX N6976) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2013-07-09 |