| NPI | 1104268341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE CLARKE Pres 813-438-8947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 208D00000X General Practice | |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |