| NPI | 1306187349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN AUGUSTIN Md/VP 813-355-4373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME109916) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME90823) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2022-01-12 |