| NPI | 1821744228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA T FLOYD Owner 813-466-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2024-06-26 |