| NPI | 1043236565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EDWARD CARSON Owner/Physician 727-938-1908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME36578) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS9655) |
| 207Q00000X Family Medicine (Licence: FL ME108731) | |
| 207Q00000X Family Medicine (Licence: FL ME110547) | |
| 363A00000X Physician Assistant (Licence: FL PA9105368) | |
| 363L00000X Nurse Practitioner (Licence: FL ARNP1658442) | |
| 363L00000X Nurse Practitioner (Licence: FL ARNP3391502) | |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP3391502) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2018-02-26 |