| NPI | 1912271586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN R SHAPIRO C.E.O. 727-331-8150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: FL AC#5951154) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2022-03-19 |