NPI | 1154578235 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE MICHELLE BISHKO Physician 727-544-8300 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS9969) |
Enumeration Date | 2008-08-20 |
Last Update Date | 2014-08-15 |