| NPI | 1396179024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT TAWIL Physcian 813-876-5548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME0010834) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |