| NPI | 1497979561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMAS KEWESHAN Owner Physician 727-595-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS0003970) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2021-06-15 |