| NPI | 1114108172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE MARCELA PENA-PERILLA Office Manager 813-935-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME51328) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME38971) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2015-07-21 |