| NPI | 1356153316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN AYAZ BOKHARI Owner 727-238-3241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-01-24 |