| NPI | 1306945811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MARTIN KAGAN Physician Owner 727-526-7420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME0041682) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |