NPI | 1134334790 |
---|---|
Entity Type | Organization |
Authorized Contact | DIPAK SHAH Doctor 813-343-5500 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME50876) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME50876) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2020-08-22 |