| NPI | 1538245709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILA J ALLEN Office Manager 727-347-3213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL FLOS00004912) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-01-11 |