NPI | 1821270380 |
---|---|
Entity Type | Organization |
Authorized Contact | KAYODE SOTONWA Medical Director 727-531-6700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL me90545) |
Enumeration Date | 2007-11-27 |
Last Update Date | 2007-11-27 |