| NPI | 1164556882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA P ACOSTA Office Manager 813-741-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |