| NPI | 1205028198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE NEUFELD President 813-885-4706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME25828) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA 9101885) |
| 363A00000X Physician Assistant (Licence: FL PA 9101889) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |