| NPI | 1871862862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGUERITE GERGER Owner 727-441-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL CH0005822) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |