NPI | 1952825259 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN HOWARD CULVERHOUSE Md / President 813-784-3746 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME106708) |
Enumeration Date | 2017-07-28 |
Last Update Date | 2017-07-28 |