| NPI | 1265671549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S EICHENBAUM President 727-345-3621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL MES 100677) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2012-03-01 |