| NPI | 1972734168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CIBRAN President 727-668-8515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2018-06-27 |