| NPI | 1538946496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH FOSTER Managing Member 813-408-9840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |