| NPI | 1477592426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A WHIMS-SQUIRES P.A. 727-466-9847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL os6918) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2010-01-06 |