| NPI | 1427458868 |
|---|---|
| Doing Business As | MDIV |
| Entity Type | Organization |
| Authorized Contact | WILLIAM A LA TORRE Managing Partner 727-321-6130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |