| NPI | 1407698566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER TRAVIS RIAD CHANG SVP Chief T RN Sfrmtn Ofcr Fhsc 813-844-3956 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |