| NPI | 1407866098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LYNN LIEDTKE Physician Assistant 813-972-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: FL PA9101925) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |