NPI | 1538523949 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES H BARKER President 813-932-5389 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS1696) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 053102) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2016-04-12 |