| NPI | 1982793139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY G. GANTT President 813-281-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: OR 394874) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-09-20 |