| NPI | 1063459238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA HOWELL Assistant Administrator 813-948-2453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |