| NPI | 1588542492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM ALEXANDER SAMARRAI CEO/Medical Director 813-730-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |