| NPI | 1457742959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE GOSCIN Owner 727-798-4649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OK 29464) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |