| NPI | 1710174990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE PALTOO President 813-991-7320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME96193) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-02 |