| NPI | 1023020427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME KOSER Owner Provider 727-796-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL OS2430) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2010-02-04 |