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 |