| NPI | 1760810816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABNER MARTIN LANDRY Owner/Physician 727-586-0545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL me56269) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |