| NPI | 1073807905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM KAUZLARICH Physician 727-460-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL OS03478) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |