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 |