| NPI | 1558012211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEON General Manager 813-374-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-11-03 |