| NPI | 1124287180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MILLER Physician/Owner 813-890-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IL 036051280) |
| Additional Taxonomies | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: IL 036051280) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2009-11-17 |