| NPI | 1457533762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAS M KOLETTIS Physician 727-738-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 174400000X Specialist (Licence: FL OS0007623) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2016-03-24 |