| NPI | 1801507249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIRAM SUNDARAMOORTHY Chief Compliance Officer 813-444-5838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2023-02-06 |