| NPI | 1568621019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE A THOMAS Office Manager 813-884-1478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME47065) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2009-03-24 |