| NPI | 1992188015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE LEVY-CLARKE Director 727-317-5830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME99689) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2020-06-12 |