| 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 |