| NPI | 1093128746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA ALAN CAMPBELL Owner 727-734-2485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME93564) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |