| NPI | 1821714395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSEIN KALAHY OSMAN MOHAMED Owner 813-541-1201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2023-01-22 |