NPI | 1497787287 |
---|---|
Doing Business As | MAIN STREET MEDICAL |
Entity Type | Organization |
Authorized Contact | ROBERT NEUWIRTH Physician/Owner 727-734-0555 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
Enumeration Date | 2006-07-06 |
Last Update Date | 2020-08-22 |