| NPI | 1528370020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A MONTOYA President & Director 813-304-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: FL me 105157) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 105157) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME 105157) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2013-04-10 |