| NPI | 1245379965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYAM KRISHNA IYER Manager 727-443-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME26372) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME44742) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-06-11 |