| NPI | 1548485220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE CHRISTINE HERMANN Owner 813-902-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME88923) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-09-29 |