| NPI | 1851795223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY M GRAY-WHITE Md 813-229-1924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL ME110366) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |