NPI | 1104920826 |
---|---|
Entity Type | Organization |
Authorized Contact | PALLAVI K PATEL Administrator 813-239-3262 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME0039612) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2006-09-12 |
Last Update Date | 2013-02-11 |