| NPI | 1588010599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | USMAN EZAD Manager 727-444-0995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2018-03-17 |