| NPI | 1023047107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN S SHULMAN Practice Adminstrator 727-541-2675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2010-07-13 |