| NPI | 1023556594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GALLOGLY Medical Doctor 727-849-1309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LA0401X Anesthesiology, Addiction Medicine (Licence: FL ME85930) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |