| NPI | 1457672180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN C CAMPBELL Medical Director 813-200-7717 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME88894) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2011-12-08 |