| NPI | 1548317290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN FORSYTHE MONROE Owner 727-323-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME89609) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-10-17 |