| NPI | 1588998488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE DRAGOO Office Manager 727-544-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 0S0006179) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2020-08-26 |