| NPI | 1295033785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MARIA LANE Assistant Administrator 727-577-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS13602) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2018-04-30 |