| NPI | 1396257002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN FORSYTHE MONROE Owner/Administrator 727-458-5483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME89609) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: me89609) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2018-05-07 |