| NPI | 1164775037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMIE J WILBUR President/Owner 813-984-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0067395) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-11-28 |