| NPI | 1184681355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNDY EDKINS Contract Manager 813-977-0733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-04-29 |
| Last Update Date | 2014-08-28 |