| NPI | 1366763898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL PUTNAM Office Manager 813-870-1747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0027178) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2010-06-18 |