| NPI | 1275853590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A LEVINE Owner/President 727-522-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME51828) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |