| NPI | 1932306115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUMA G OSUJI Medical Director 813-890-9064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: FL MM13567) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |