NPI | 1588932081 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES A SOTROP Owner 813-961-5201 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0041092) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3279962) |
Enumeration Date | 2011-12-12 |
Last Update Date | 2011-12-12 |