| NPI | 1043441546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULISSA ORTIZ Assistant Administrator 727-577-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS8908) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2023-01-22 |