| 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 |