NPI | 1942367644 |
---|---|
Entity Type | Organization |
Authorized Contact | GIULIANA GRANDE Practice Manager 813-984-8846 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME 68807) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2012-06-20 |