| NPI | 1043536022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY R. WERT Office Manager 727-842-7397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0050514) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2013-02-25 |