NPI | 1215636022 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREM M FEELEY CEO 813-431-9787 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207R00000X Internal Medicine |
207Q00000X Family Medicine | |
Enumeration Date | 2023-03-01 |
Last Update Date | 2023-03-01 |