NPI | 1942077383 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN JONES Registered Agent 813-575-1161 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2023-12-06 |
Last Update Date | 2024-01-05 |