| NPI | 1780192112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY L MORERA CEO 813-482-3348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-06-18 |