| NPI | 1144464397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY SUZANNE MILANESE Office Manager 727-527-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME0026372) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: FL ME0026372) |
| 207Q00000X Family Medicine (Licence: FL ME0026372) | |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME00226372) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2010-03-23 |