| NPI | 1194993659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM FRAZIER Ar Specialist 727-848-3761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME 36915) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2010-03-15 |