| NPI | 1003039033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ALLEN STEFANO Director Md 813-968-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2013-09-24 |