| NPI | 1023334844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JOHNSONS Medical Director 813-264-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME62751) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |