| NPI | 1164955027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM JACOB GRUNBAUM President/CEO 727-940-9391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: FL OS9755) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2019-01-23 |