| NPI | 1922491943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH BABCOCK-HELLRUNG Owner 727-526-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL 20621) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |