| NPI | 1790198638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA CATHERINE UNDERWOOD Nurse Practitioner 813-956-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 306143) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |