| NPI | 1548933682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA GORKEN VP, PFS 727-281-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |