| NPI | 1003116625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ERIC KERN President 727-347-8132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL OS0005648) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |