| NPI | 1487076451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA S OWENS President 813-476-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL ME85711) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL ME92933) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |