| NPI | 1508816786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK D DEMERY Treasurer 813-961-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME82542) |
| 208000000X Pediatrics (Licence: FL ME82542) | |
| 207R00000X Internal Medicine (Licence: FL ME87304) | |
| 208000000X Pediatrics (Licence: FL ME87304) | |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2013-01-10 |