| 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 |