| NPI | 1841446952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE Y TALTON-WILLIAMSON President 813-866-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME78701) |
| Enumeration Date | 2008-08-09 |
| Last Update Date | 2010-05-28 |