| NPI | 1235696139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN REVELLO President/CEO 813-991-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |