| NPI | 1427228998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL GIMNESS Medical Director 813-567-5679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME93084) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2023-05-12 |