| NPI | 1164513271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A JOHN Dr Physician 813-782-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME80083) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |