| NPI | 1952614281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN B TINSLEY Owner/President 727-441-4526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME 51360) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2012-01-23 |