| NPI | 1871896506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R. HOMAN Physician 813-873-8591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL OS3261) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |