| NPI | 1477542769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN SCUDDER President Physician 813-931-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS7188) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2014-10-08 |