| NPI | 1992017958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM TOTAH Director 727-442-7338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME81015) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2022-07-08 |