| NPI | 1366989105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED PALMER Director 727-456-8968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2022-10-07 |