| NPI | 1477723179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN M ROCHE Practice Administrator 813-931-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0050777) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2021-03-09 |