| NPI | 1356779250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE JOHNSON Owner/Md 813-264-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME62751) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2015-10-29 |