| NPI | 1225451180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD M RAMIREZ Principle 727-593-4260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: FL ME71434) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |