| NPI | 1932356052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUELLYN Z. PANDIS Executive Director 813-969-3757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL RN2855132) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2020-09-01 |