| NPI | 1811390016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FORREST GOLDEN Owner 813-855-5986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL CH4140) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |