| 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 |