| NPI | 1962436683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE F VAN BUSKIRK Chief Of Staff 727-398-6661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: FL ME 67702) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |