NPI | 1497917082 |
---|---|
Entity Type | Organization |
Authorized Contact | BICH-NGOC THI PHAM Physician 813-749-0844 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME101516) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 101516) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2014-05-07 |