| NPI | 1982992855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINA POLLAN Physician 727-787-4383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME104445) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2012-02-15 |