| NPI | 1073570511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY M GOLDSTEIN President Of Corporation 727-789-5811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2013-10-02 |