NPI | 1558503367 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON LARSEN Office Manager 727-819-2534 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME79368) |
Enumeration Date | 2009-03-26 |
Last Update Date | 2010-06-22 |