| NPI | 1043825540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GARDNER Operations Officer 727-474-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |