| NPI | 1770003105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A VERBARG Executive Director 813-753-2482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QB0400X Clinic/Center, Birthing (Licence: FL 312) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |