| NPI | 1912410895 |
|---|---|
| Doing Business As | DIVERSITY HEALTH CENTER OF TAMPA BAY |
| Entity Type | Organization |
| Authorized Contact | DAVID W LYTER Owner 813-518-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME79149) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2019-07-15 |