| NPI | 1194962134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP FRANKLIN BAGENSKI CEO 727-441-8133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME77670) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2010-02-01 |