| NPI | 1730592213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC A KATZ Physician 813-875-0555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL PO2532) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-09-23 |