| NPI | 1790736676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAMARZ H GHAZI President 727-549-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME0044247) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL ME0044247) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2008-10-07 |