| NPI | 1861428062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANOLLAH TABESH Director 813-932-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: FL ME41543) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL Me41543) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-02-28 |