| NPI | 1558540534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA ANN VAZQUEZ Office Manager 727-585-5431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 0062810) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2009-03-13 |