| NPI | 1225221690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY ALAN SPILMAN Doctor 727-321-1427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL DN16221) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |