| NPI | 1386942423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR OBI Owner 813-230-4212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2011-03-13 |
| Last Update Date | 2011-03-13 |